Copyright © 2014 by CTB/McGraw-Hill LLC
39
CTB/McGraw-Hill
20RyanRanchRoad
Monterey,CA93940-5703
District/ElementName:
AREAORREGION:
School:
SCHOOLNUMBER:
CONTACTPERSON:
PHONENUMBER:
(
)
GENERAL INSTRUCTIONS:Donot listmore thanoneschoolon this form.
TheSchool/GroupList isCTB’swayofdouble-checking thatwehave receivedall yourgroupsofanswerdocuments.
EveryGroup InformationSheet (GIS) completed for your school should have an entry on the linesbelow.
NOTE:
Ungradedgroups cannot receiveNationalPercentile,NationalStanine,NormalCurveEquivalent,
orAnticipatedAchievement scores.
CTB use:
OrganizationNumber:
OperationalUnit ofWorkNumber:
Struc/Elem:
OrganizationName:
ElementName:
SONumber:
SCHOOL/GROUPLIST
CTBUse
Teacher
Please spell teacher’snameexactlyas
bubbledonGroup InformationSheet.
Grade Number
Tested
CTBUse
DidNot
Receive
Gross under
case count
Grossover
case count
Comments
BRUSSELS
BRUSSELS ES/HS
1403
MR.MIKESMITH
M002274002
DoDEA
60187
M.GREEN
5 27
P.SMITH
5 32
S.JONES
7
25
J.DAVIS
7
29
EUROPE
1
1
2
2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Package and Ship Assessment
Materials
When all of the assessment materials have been returned to and checked
by the School Assessment Coordinator, the materials should be packaged
according to the following guidelines to ensure safe shipment. All completed
student books, answer sheets, Group Information Sheets, and School/Group
Lists are to be returned to CTB via a traceable shipping method that is traceable
from shipping point to delivery point. All Test Directions for Teachers and
unused student books are to be inventoried and stored in a locked location
at the school. The Test Directions for Teachers should
not
be returned with
the answer documents.
Follow these guidelines:
1
Use the original shipping cartons to pack materials for return.
The boxes in which assessment materials were delivered to
you are ideal. Ensure that former labels and other markings
have been removed or covered. If the original shipping
cartons are not available or are too small or not sturdy enough,
use corrugated cardboard cartons that are sturdy and dry.
2
Place all envelopes in cartons.
Stack the envelopes flat in the cartons. Place the School/Group
List on top of all envelopes, or if there are multiple boxes, in
Box #1 for the school.
Note:
Do NOT return Test Directions for Teachers.
3
Add packing material to cartons.
Add enough packing material to hold the documents securely
in place during transit. Then seal each box tightly with
packing tape.
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11/20/14 5:03 PM
