REGENTS' TEST

 

  TRANSMITTAL AND ADMINISTRATION REPORT FORM

 

 

 

Administrator's name __________________________________________________________________

 

Test date                                              Time                                        Location                                 

 

 

  1.            RECEIPT OF MATERIALS

 

   NUMBER OF TESTS RECEIVED:   Essay ____________     Reading ____________

      

   SERIAL NUMBERS OF READING TESTS RECEIVED: ______________________________

 

 

         

   Verified:   _________________________________________  ___  ______  _______  _____________

                    SIGNATURE of person receiving tests (if different from coordinator)                                      DATE                            TIME

      

   Verified:   ____________________________________________  _____________  _____________

                    SIGNATURE of coordinator                                                                                                        DATE                           TIME

  

                    Make sure that tests are in a secure location at all times.

 

 

2.A.  DISTRIBUTION TO STUDENTS (ESSAY TEST)

 

   Hand one essay test booklet directly to each examinee.  Do not pass tests down aisles or rows.

  

   Complete the following after the tests have been distributed (while students are taking the test):

 

   NUMBER OF STUDENTS TAKING ESSAY TEST:   ____________ 

      

   Verified:   _________________________________________ ___  ____   _________  _____________

                    SIGNATURE                                                                                      DATE                             TIME        

                       

                    Keep unused test booklets under supervision at all times.

 

 

2.B.   TIMING (ESSAY TEST)

 

    EXACT TIME ESSAY TEST BEGAN:   ________          EXACT TIME ESSAY TEST ENDED:   _______

    (when students were told to begin)                                       (when you said "time is up")

 

   

2.C.  COLLECTION FROM STUDENTS (ESSAY TEST)

 

-If students are allowed to leave early, make sure that each student turns in a test booklet.  Keep returned test booklets under supervision at all times.

   -At end of administration, do not let students leave until all booklets are accounted for. 

-Collect a test booklet directly from each student.  Do not have students pass tests down aisles or rows.

  

   NUMBER OF ESSAY TESTS COLLECTED:   ____________

      

   Verified:   _________________________________________ ___  ____   _________  _____________

                    SIGNATURE                                                                                      DATE                             TIME        

  


3.A.   DISTRIBUTION TO STUDENTS (READING TEST) 

 

   Hand one test booklet directly to each examinee.  Do not pass tests down aisles or rows.

  

   Complete the following after tests have been distributed (while students are taking the test):

 

   NUMBER OF STUDENTS TAKING READING TEST:   ____________

      

   NUMBER AND SERIAL NUMBERS OF READING BOOKLETS: 

 

      DISTRIBUTED:___________________________________________________________

 

      UNUSED:________________________________________________________________

   Make sure that the number of tests distributed and the number unused add up to the total number of tests you received.

  

   Verified:   _________________________________________ ___  ____   _________  _____________

                    SIGNATURE                                                                                      DATE                             TIME        

                           Keep unused test booklets under supervision at all times.

 

 

3.B.   TIMING (READING TEST)

 

    EXACT TIME READING TEST BEGAN:   ________             EXACT TIME TEST ENDED:   _______

    (when students were told to begin)                                         (when you said "time is up")

 

 

3.C.  COLLECTION FROM STUDENTS (READING TEST)

 

-If students are allowed to leave early, make sure that each student turns in a test booklet.  Keep returned test booklets

 under supervision at all times.

   -At end of administration, do not let students leave until all booklets are accounted for. 

-Collect a test booklet directly from each student.  Do not have students pass tests down aisles or rows.

  

   NUMBER OF READING TESTS COLLECTED:   ____________

 

   Verified:   ____________________________________________  _____________  _____________

                    SIGNATURE                                                                                  DATE                              TIME   

  

 

  4.  RETURN OF MATERIALS

 

   NUMBER OF TESTS RETURNED:  Essay ____________  Reading ____________

 

   SERIAL NUMBERS OF READING TESTS RETURNED:  __________________________

  

 

   Checked and Verified (by person responsible for receiving tests):

         

   __________________________________________________  _____________  _____________

   SIGNATURE                                                                                                      DATE                                TIME

 

 

 5.  PROBLEMS

 

Please attach a description of any irregularity or problem with the test administration that may have

affected either individual examinees or a group of examinees.  Describe the irregularity in detail and indicate the test booklet number(s) and name(s) of any examinee that may have been affected by the irregularity.