ITBS Scanning/Scoring Service Order form for Scanning/Scoring of the Iowa Test of Basic Skills

ITBS and ITED Form A and CogAT, Form 6 ITBS, ITED and TAP, Forms K, L, and M and CogAT 5

Fall (Prior to Dec 1) Midyear (Dec 1-Feb 28) Spring (March 1 on)

Norming Period: (Check one only) No barcodes were used with this order

Barcodes were used for this order

Please check one of the following:

A K, L or M ITBS

A K, L or M ITED

A K, L or M TAP

A K, L or M COGAT

A K, L or M ITBS/COGAT

A K, L or M TAP/COGAT

Please check form(s) used: Name

Title District Name & USD #

Address City

State, Zip Telephone#

Fax # Email

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ship To:

PO# District Name & USD #

Address City

State, Zip

_____________________________________________________________________________________________________________________________________________________________________________________________________________

Bill To: (if different from ship to)

Number of tests by grade: The numbers listed below must equal the number of answer documents sent in, not the number of students in each class.

Services already checked are included in the basic package. Check boxes or all appropriate options and scores to report.

Student Reports

Building Name K 1 2 3 4 5 6 7 8 9 10 11 12

Total per

bldg

Student Score Label-Achievement

SS GE NPR NS NCE

List of Student Scores

SS GE NPR NS NCE

Grouped by class with class, building and system summaries

Grouped by building with building and system summaries

Individual Performance Profile

Upper Graph

Lower Graph

Bar Graphs Confidence Bands

Bar Graphs Confidence Bands Difference Graphs

SS GE NPR NS NCE

Bar Graphs are default choice. Please change if Confidence Bands or Difference Graphs are desired.

* See group performance profile

Individual Profile Narrative For no charge, you may include up to a 50 word note on this form that goes home to the parents. Please type here what you would like the note to say. YOU DO NOT HAVE TO INCLUDE A NOTE!

Achievement Only Combined Only

GE NPR NCE NS

* See group narrative summary

Page 2 of 3

Group Reports

Student Data on CD-ROM Available for an additional fee of 10 cents per student

ASCII Fixed-width file; Windows/Macintosh Note: This is NOT compatible with Riversides Data Reporting Service or Report Express.

Program Summaries and other information Includes Building and System Narrative Summaries

Mark all that apply: For form KLM please indicate which fields are being used for demographic data.

SE

504

F/RL

GT

ELL

MG

T1 L

T1 M

Other 1 ____________________

Other 2 ____________________

Gender

Ethnicity Lower Graph Bar Graphs Difference Graphs Percent of Students

in Low/Mid/High

Group Performance Profile Includes class, building system performance profiles

Upper Graph Bar Graphs Confidence Bands

SS GE NPR NS NCE

Bar Graphs are default choice. Please change if Confidence Bands or Difference Graphs are desired.

Group Narrative Summary-CogAT Includes class, building, and system profiles

Select one graph:

Overlapping Bar Bar/Stock Graph Bar/Line

Page 3 of 3

Group Narrative Summary-Achievement Includes Building and System Narrative Summaries

SS GE NPR NS NCE

Bar/Line Graphs are default choice. Please change if Overlapping Bar Graphs or Bar/Stock are desired.

Overlapping Bar Bar/Stock Graph Bar/Line