QUALITY ASSURANCE MAP-A ASSESSMENTS 2024-25

MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
OFFICE OF QUALITY SCHOOLS — ASSESSMENT

INSTRUCTIONS
A Department of Elementary and Secondary Education (DESE) employee or designee completes this form during a Quality Assurance (QA) Missouri Assessment Program Alternate (MAP-A) visit during the Fall 2024 or Spring 2025 MAP-A assessment window. This QA visit must occur during the state assessment windows, September 9, 2024 - December 20, 2024, or February 3, 2025, - May 17, 2025. All questions on the form should be answered.

After the visit has occurred, the DESE employee/designee must submit this form by June 28, 2025.

If you have questions or need to report testing irregularities or concerns, please contact Assessment at 573-751-3545 or Assessment@dese.mo.gov.

ABOUT THE VISIT
DESE uses this document as a tool to monitor and strengthen statewide administration of the MAP-A as part of the monitoring process required by the Every Student Succeeds Act (ESSA). The questions are designed to help districts examine important areas of assessment training, administration, and test security.

If you or a member of your immediate family ever served in the U.S. Armed Forces, click here for more information about military-related services in Missouri or visit https://dese.mo.gov/veterans-services. If you would like to receive information and assistance regarding veterans benefits and services from the Missouri Veterans Commission, please fill out this form or visit https://mvc.dps.mo.gov/MoVeteransInformation/Survey/DESE.

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* 1. First and Last Name of Person Completing this Form

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* 2. Date of Visit

Please enter the date of the visit below.

Date

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* 3. School District Name

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* 4. School District Code (six digits)

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* 5. School Building Code (four digits)

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* 6. First and Last Name of District Test Coordinator (DTC)

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* 7. First and Last Name of Map-A District Test Coordinator (MTDC)

The Department of Elementary and Secondary Education does not discriminate on the basis of race, color, religion, gender, gender identity, sexual orientation, national origin, age, veteran status, mental or physical disability, or any other basis prohibited by statute in its programs and activities. Inquiries related to department programs and to the location of services, activities, and facilities that are accessible by persons with disabilities may be directed to the Jefferson State Office Building, Director of Civil Rights Compliance and MOA Coordinator (Title VI/Title VII/Title IX/504/ADA/ADAAA/Age Act/GINA/USDA Title VI), 5th Floor, 205 Jefferson Street, P.O. Box 480, Jefferson City, MO 65102-0480; telephone number 573-526-4757 or TTY 800-735-2966; email civilrights@dese.mo.gov.

MO 500-3523 (10-24)