Testing & Evaluation. Scoring Order Form Scoring Only. New to our scoring service? School Information. Need help? Call

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1 School Order Form 2018 Scoring Only This order is for The Iowa Assessments Form E The Iowa Tests Form A/C Stanford Achievement Tests School Information School Account Number School Mailing Address City State ZIP Phone (required) (required)* UPS Address (if different) City State ZIP * address required in order to receive test score notification. Sign up for our free Testing Solutions e-newsletter! Use the address listed above. Use a different address: If you mark one of these options, you will receive the Testing Solutions newsletter. You can opt out at any time. New to our scoring service? How to use this order form: Fill this out as a worksheet and enter item numbers and quantities online using our Quick Order Entry. OR , fax, or mail this completed form with your finished tests. (We don t recommend ing credit card information.) See bjupress.com/testing/scoring.php for more details about which documents we can score, which reports you will receive, how to exclude students from group reports, how to label and stack the documents, shipping labels and instructions, direct online shopping, and other frequently asked questions. Need help? Call Tests should be postmarked by August 15 for those wanting spring scoring norms. Order Information Ordered by Purchase Order No. (optional) Test Coordinator s Total Grade K5 12 Enrollment (required) We began testing on this date: / / We would like our school name to appear on the test scores as the following (20 characters/spaces max.): Office Use Only Order # Entered by Date Paid $ / Check # We would like to add a school/group summary report. Yes No Orders are not final until approved by the BJU Press home office. All sales and prices are FOB Greenville, SC, and prices are subject to change without notice. Scoring Order Form

2 Student Information Please add demographic information for your students in the blanks provided below OR send an Excel file with this information by Student 1 Student 9 Student 2 Student 10 Student 3 Student 11 Student 4 Student 12 Student 5 Student 13 Student 6 Student 14 Student 7 Student 15 Student 8 Student 16 For additional students, please attach a list with the above information provided for each student.

3 TESTING & EVALUATION Iowa Form E Item# List Price Qty. Subtotal Achievement Tests Iowa Assessments Scoring: Level 5 (Form E, booklet) $10.00 Qty. Total Iowa Assessments Scoring: Level 5/6 (Form E, booklet) $10.00 Qty. Total Iowa Assessments Scoring: Level 7 (Form E, booklet) $10.00 Qty. Total Iowa Assessments Scoring: Level 8 (Form E, booklet) $10.00 Qty. Total Iowa Assessments Scoring: Level 9 (Form E, document) $7.00 Qty. Total Iowa Assessments Scoring: Level 10 (Form E, document) $7.00 Qty. Total Iowa Assessments Scoring: Level 11 (Form E, document) $7.00 Qty. Total Iowa Assessments Scoring: Level 12 (Form E, document) $7.00 Qty. Total Iowa Assessments Scoring: Level 13 (Form E, document) $7.00 Qty. Total Iowa Assessments Scoring: Level 14 (Form E, document) $7.00 Qty. Total Iowa Assessments Scoring: Level 15 (Form E, document) $7.00 Qty. Total Iowa Assessments Scoring: Level 16 (Form E, document) $7.00 Qty. Total Iowa Assessments Scoring: Level 17/18 (Form E, document) $7.00 Qty. Total Achievement tests combined with Cognitive Abilities Test, Form Combined Iowa Assessments/CogAT Scoring: Level 5/6 (Form E/7, 2 booklets) $13.00 Qty. Total Combined Iowa Assessments/CogAT Scoring: Level 7 (Form E/7, 2 booklets) $13.00 Qty. Total Combined Iowa Assessments/CogAT Scoring: Level 8 (Form E/7, 2 booklets) $13.00 Qty. Total Combined Iowa Assessments/CogAT Scoring: Level Combined Iowa Assessments/CogAT Scoring: Level Combined Iowa Assessments/CogAT Scoring: Level Combined Iowa Assessments/CogAT Scoring: Level Combined Iowa Assessments/CogAT Scoring: Level Combined Iowa Assessments/CogAT Scoring: Level Combined Iowa Assessments/CogAT Scoring: Level Combined Iowa Assessments/CogAT Scoring: Level Combined Iowa Assessments/CogAT Scoring: Level 17/18 Scoring Order Form

4 Item# List Price Qty. Subtotal Cognitive Abilities Test only CogAT Only Scoring: Level 5/6 (Form 7, booklet) $10.00 Qty. Total CogAT Only Scoring: Level 7 (Form 7, booklet) $10.00 Qty. Total CogAT Only Scoring: Level 8 (Form 7, booklet) $10.00 Qty. Total CogAT Only Scoring: Level 9 (Form 7, document) $7.00 Qty. Total CogAT Only Scoring: Level 10 (Form 7, document) $7.00 Qty. Total CogAT Only Scoring: Level 11 (Form 7, document) $7.00 Qty. Total CogAT Only Scoring: Level 12 (Form 7, document) $7.00 Qty. Total CogAT Only Scoring: Level 13/14 (Form 7, document) $7.00 Qty. Total CogAT Only Scoring: Level 15/16 (Form 7, document) $7.00 Qty. Total CogAT Only Scoring: Level 17/18 (Form 7, document) $7.00 Qty. Total

5 TESTING & EVALUATION Iowa Form C Item# List Price Qty. Subtotal Achievement Tests ITBS Scoring: Level 5 (Form A/C, booklet) $10.00 Qty. Total ITBS Scoring: Level 6 (Form A/C, booklet) $10.00 Qty. Total ITBS Scoring: Level 7 (Form A/C, booklet) $10.00 Qty. Total ITBS Scoring: Level 8 (Form A/C, booklet) $10.00 Qty. Total ITBS Scoring: Level 9 (Form A/B/C, document) $7.00 Qty. Total ITBS Scoring: Level 10 (Form A/B/C, document) $7.00 Qty. Total ITBS Scoring: Level 11 (Form A/B/C, document) $7.00 Qty. Total ITBS Scoring: Level 12 (Form A/B/C, document) $7.00 Qty. Total ITBS Scoring: Level 13 (Form A/B/C, document) $7.00 Qty. Total ITBS Scoring: Level 14 (Form A/B/C, document) $7.00 Qty. Total ITED Scoring: Level 15 (Form A/B/C, document) $7.00 Qty. Total ITED Scoring: Level 16 (Form A/B/C, document) $7.00 Qty. Total ITED Scoring: Level 17/18 (Form A/B/C, document) $7.00 Qty. Total Achievement tests combined with Cognitive Abilities Test Combined ITBS/CogAT Scoring: Level K (Form A/C, 2 booklets) $13.00 Qty. Total Combined ITBS/CogAT Scoring: Level 1 (Form A/C, 2 booklets) $13.00 Qty. Total Combined ITBS/CogAT Scoring: Level 2 (Form A/C, 2 booklets) $13.00 Qty. Total Combined ITBS/CogAT Scoring: Level 9/A Combined ITBS/CogAT Scoring: Level 10/B Combined ITBS/CogAT Scoring: Level 11/C Combined ITBS/CogAT Scoring: Level 12/D Combined ITBS/CogAT Scoring: Level 13/E Combined ITBS/CogAT Scoring: Level 14/F Combined ITBS/CogAT Scoring: Level 15/F (Form A/B/C, 2 documents) $10.00 Qty. Total Combined ITBS/CogAT Scoring: Level 16/G (Form A/B/C, 2 documents) $10.00 Qty. Total Combined ITBS/CogAT Scoring: Level 17/G (Form A/B/C, 2 documents) $10.00 Qty. Total Combined ITBS/CogAT Scoring: Level 18/H (Form A/B/C, 2 documents) $10.00 Qty. Total Scoring Order Form

6 Item# List Price Qty. Subtotal Cognitive Abilities Test only CogAT Scoring: Level K (Form 6, booklet) $10.00 Qty. Total CogAT Scoring: Level 1 (Form 6, booklet) $10.00 Qty. Total CogAT Scoring: Level 2 (Form 6, booklet) $10.00 Qty. Total CogAT Scoring: Level A (Form 6, document) $7.00 Qty. Total CogAT Scoring: Level B (Form 6, document) $7.00 Qty. Total CogAT Scoring: Level C (Form 6, document) $7.00 Qty. Total CogAT Scoring: Level D (Form 6, document) $7.00 Qty. Total CogAT Scoring: Level E (Form 6, document) $7.00 Qty. Total CogAT Scoring: Level F (Form 6, document) $7.00 Qty. Total CogAT Scoring: Level G (Form 6, document) $7.00 Qty. Total CogAT Scoring: Level H (Form 6, document) $7.00 Qty. Total

7 TESTING & EVALUATION Stanford Achievement Tests Item# List Price Qty. Subtotal Achievement Tests Stanford Scoring: SESAT 1 (2 booklets) $13.00 Qty. Total Stanford Scoring: SESAT 2 (2 booklets) $13.00 Qty. Total Stanford Scoring: Primary 1 (2 booklets) $13.00 Qty. Total Stanford Scoring: Primary 2 (2 booklets) $13.00 Qty. Total Stanford Scoring: Primary 3 (2 booklets) $13.00 Qty. Total Stanford Scoring: Primary 3 (document) $10.00 Qty. Total Stanford Scoring: Intermediate 1 (document) $10.00 Qty. Total Stanford Scoring: Intermediate 2 (document) $10.00 Qty. Total Stanford Scoring: Intermediate 3 (document) $10.00 Qty. Total Stanford Scoring: Advanced 1 (document) $10.00 Qty. Total Stanford Scoring: Advanced 2 (document) $10.00 Qty. Total Stanford Scoring: TASK 1 (document) $10.00 Qty. Total Stanford Scoring: TASK 2 (document) $10.00 Qty. Total Stanford Scoring: TASK 3 (document) $10.00 Qty. Total Achievement tests combined with Otis-Lennon School Ability Test Items in bold indicate spring scoring combinations Combined Stanford/OLSAT Scoring: Primary 1/B (3 booklets) $16.00 Qty. Total Combined Stanford/OLSAT Scoring: Primary 1/C (3 booklets) $16.00 Qty. Total Combined Stanford/OLSAT Scoring: Primary 2/C (3 booklets) $16.00 Qty. Total Combined Stanford/OLSAT Scoring: Primary 2/D (3 booklets) $16.00 Qty. Total Combined Stanford/OLSAT Scoring: Primary 3/D (3 booklets) $16.00 Qty. Total Combined Stanford/OLSAT Scoring: Primary 3/E (2 booklets & document) $16.00 Qty. Total Combined Stanford/OLSAT Scoring: Intermediate 1/E Combined Stanford/OLSAT Scoring: Intermediate 2/E Combined Stanford/OLSAT Scoring: Intermediate 2/F (document) $13.00 Qty. Total Combined Stanford/OLSAT Scoring: Intermediate 3/F Combined Stanford/OLSAT Scoring: Advanced 1/F Combined Stanford/OLSAT Scoring: Advanced 2/F Scoring Order Form

8 Item# List Price Qty. Subtotal Combined Stanford/OLSAT Scoring: Advanced 2/G (document) $13.00 Qty. Total Combined Stanford/OLSAT Scoring: TASK 1/G Combined Stanford/OLSAT Scoring: TASK 2/G Combined Stanford/OLSAT Scoring: TASK 3/G Otis-Lennon School Ability Test only OLSAT Scoring: Level B (booklet) $13.00 Qty. Total OLSAT Scoring: Level C (booklet) $13.00 Qty. Total OLSAT Scoring: Level D (booklet) $13.00 Qty. Total OLSAT Scoring: Level E (document) $10.00 Qty. Total OLSAT Scoring: Level F (document) $10.00 Qty. Total OLSAT Scoring: Level G (document) $10.00 Qty. Total

9 TESTING & EVALUATION Calculate total. Iowa E scoring total Iowa C scoring total Stanford scoring total Choose method of payment. TOTAL Payment Terms For established accounts, all invoices are payable upon receipt and are due within 30 days. A service charge of 1.5% monthly will be added to all balances not paid within 30 days (annual rate: 18%). Testing results will be held if the invoices are not paid as agreed. Note: Delinquent accounts must be brought to current status before any additional orders will be processed. If collection is necessary, all collection fees are the responsibility of the purchasing school. Mail BJU Press 1430 Wade Hampton Blvd, Suite 210 Greenville, SC Phone (local & overseas) Fax (local & overseas) testing@bjupress.com Website Payment Details Established account. Please bill. New account. To establish a new account, please enclose the name of your bank and the names, addresses, account numbers, and phone numbers of three companies with whom you have established credit. Include 25% of initial order as down payment. Balance due net 30 days upon credit approval. Check/money order. Please remit in US funds. Amount enclosed: Visa MasterCard Discover Credit card no. Exp. date Cardholder s ZIP Full name(s) appearing on card X Authorized signature If card was issued to another person/entity, fill in: Issued to Address City State ZIP Phone Scoring Order Form

10 SHIPPING LABELS 1430 Wade Hampton Blvd., Ste. 210 Greenville, SC Scoring Shipment # Box of Which test are you sending? Stanford/OLSAT The Iowa Tests /CogAT Please send by an insured and traceable method Wade Hampton Blvd., Ste. 210 Greenville, SC Scoring Shipment # Box of Which test are you sending? Stanford/OLSAT The Iowa Tests /CogAT Please send by an insured and traceable method