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
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