Copyright © 2014 by CTB/McGraw-Hill LLC
36
CTB/McGraw-Hill
20 Ryan Ranch Road
Monterey, CA 93940-5703
District/Element Name:
AREA OR REGION:
School:
SCHOOL NUMBER:
CONTACT PERSON:
PHONE NUMBER: (
)
GENERAL INSTRUCTIONS: Do not list more than one school on this form.
The School/Group List is CTB’s way of double-checking that we have received all your groups of answer documents.
Every Group Information Sheet (GIS) completed for your school should have an entry on the lines below.
NOTE:
Ungraded groups cannot receive National Percentile, National Stanine, Normal Curve Equivalent,
or Anticipated Achievement scores.
CTB use:
Organization Number:
Operational Unit of Work Number:
Struc/Elem:
Organization Name:
Element Name:
SO Number:
SCHOOL/GROUP LIST
CTB Use
Teacher
Please spell teacher’s name exactly as
bubbled on Group Information Sheet.
Grade Number
Tested
CTB Use
Did Not
Receive
Gross under
case count
Gross over
case count
Comments
ISLES
BRUSSELS ES/HS
1403-104
MR. MIKE SMITH
M002274002
DoDEA
60187
M. GREEN
5
27
V . ESCOBAR
5
32
S. JONES
7
25
S. SCHWARTZ
7
29
EUROPE
1
1
2
2
1
2
3
4
5
6
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
123 456-7890
Complete the School/Group List
The School/Group List is CTB’s way of double-checking that we have
received all your groups of answer documents. Every Group Information Sheet
completed must have an entry on the School/Group List. Fill in information on
the School/Group List as instructed on the following page. Prepare one
School/Group List for all
TerraNova, Third Edition,
Multiple Assessments
groups and one for all CAT Plus groups.
Keep a photocopy of the completed
document(s) for your records.
2706737_TN_ACM_s15DoDEA.indd 36
11/20/14 5:03 PM
