Return Materials Survey

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* 1. AZELLA District Test Coordinator's Name

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* 2. District Name

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* 3. District Entity Number

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* 4. Pearson will ship new Placment Test Materials for KPT (Response Sheets and erratas only), Grade 1 and Grades 2-3 based on the number of students scored in the 2022-2023 school year. Please select your desired delivery window from the list below:

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AZELLA Placement Test Stage II Test Book:  The current version of the Stage II Placement Test was revised in 2018 and has a cat on the cover.

AZELLA Placement Test Stage II Test Book Cover

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* 5. Number of Stage II Test Books to be returned

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AZELLA Placement Test Stage II Test Administration Directions (TAD):  The current version of the Stage II Placement Test TAD was revised in 2018 and has a cat on the cover.

AZELLA Placement Test Stage II Test Book Cover

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* 6. Number of Stage II TADs to be returned

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* 7. Number of Stage II Listening CDs to be returned to Pearson.

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Kindergarten Placement Test Student Response Sheets:  The current version of the Kindergarten Placement Test Student Response Sheet was revised in 2022 and is printed in purple ink. However, if you have any older Kindergarten Placement Test material (blue or green) please return those as well.

KPT Response Sheets

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* 8. Number of UNUSED Kindergarten Placement Test Student Response Sheets to be returned to Pearson.

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* 9. Number of Kindergarten Placement Test Test Books retained by the district - Kindergarten Placement Test Test Books will NOT be returned to Pearson.

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* 10. Kindergarten Placement Test Return Materials Acknowledgment.

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