PSAT

Saturday, October 18, 2014

HeritageHigh School at 520Evergreen Mill Road, SE, Leesburg, VA20175

571-252-2816, School Counseling Office

8:00 a.m. – Building Opens for Seating

8:30 a.m. – Test Begins

11:30 a.m. – Approximate End of Testing

Open to

  • Loudoun County Public School students who cannot take the October 15 test
  • Home Schooled students in Grades 9, 10, or 11
  • Students attending unaccredited, private schools in Grades 9, 10, or 11
  • Students residing in other than Loudoun County must pay a fee of $20.00

How to register:

  • Complete and submit the registration form which may be obtained from the School Counseling Office of the LCPS high school closest to you by October 10, 2014

How to prepare:

  • Read the Student Bulletin
  • Take the Practice PSAT

What to bring:

  • Identification which includes home address (photo id preferred)
  • Two sharpened No. 2 pencils with erasers
  • Calculator
  • School’s six-digit CEEB code or home school CEEB code
  • Social security number (optional)
  • E-mail address (optional)

Cautions:

  • Only four-function, scientific, or graphing calculators may be used.
  • Only one five-minute stretch break and one one-minute break are permitted.
  • Use of the following is prohibited: cellular phones; pagers; electronic devices; watch alarms; protractors; compasses; rulers; dictionaries or other books; pamphlets; papers of any kind; highlighters; colored pencils or pens; listening, recording, copying, or photographic devices; or any other aid.
  • No food or beverage allowed in the testing room.
  • No talking permitted in the testing area.
  • No visitors in the testing room.
  • Latecomers cannot be admitted.

Test costs will be paid by Loudoun County Public Schools for Loudoun County residents.

* Checks for students from outside Loudoun County should be made out to: County of Loudoun; and mailed with the registration form to the attention of Mary Jo Taylor, School Counseling Services,

21000 Education Court, Ashburn, VA 20148.

Registration for Saturday, October 18, 2014 PSAT/NMSQT

Student’s Name

Student’s Birthday

Parent/Guardian Name

Home Address

Telephone Number

E-Mail Address Current Grade Level

School student regularly attends. If home schooled, write “home.”

Is the student a resident of Loudoun County, Virginia?

*NOTE: Student may not take the October 15, 2014PSAT and the October 18, 2014 test. Only one test is allowed per student/per year.

Amount paid*

Has the student completed a Services for Students with Disabilities Eligibility Form?

I wish to register for the October 18, 2014 PSAT at Heritage High School and realize that I should report to the school no later than 8:00 a.m.

Student SignatureDate

I wish to register my child for the October 18, 2014 PSAT at Heritage High School.

Parent/Guardian SignatureDate

Return this form to the nearest high school counseling office no later than October 10, 2014. Questions may be directed to the school’s school counseling director.

FAX phone number for School Counseling Services is: 571-252-1245.

Directions to Heritage High School are located on the Loudoun County Public Schools web-site at.