Appendix 1-B
Revised 03/2014
TASC Candidate (Last Name, First Name):
______
Date of Birth: __ __ /__ __ /______Age*: ______Social Security Number ______
TASC Testing Information – To be completed by TASC test-taker
£ Taking the entire test for the first time, or
£ Retesting and have completed the test, or
£ Taking some of the tests to complete the battery.
£ Court ordered to take the TASC Tests (See attached court order).
If you have tested before, name the state/s where you tested ______.
VOUCHER–To be completed by Job Corp Staff
The candidate named above has:
£ Successfully completed a TASC preparation program by scoring the minimum requirements of 500 on the TASC Readiness Assessment (TRA)
£ Prior to retesting, spent additional hours in the TASC preparation class in order to increase scores on non-passing subjects or to increase total points by retaking the OPT and scoring a minimum of 500 on each subject.
Signature of Job Corp Staff: ______
TASC – To be completed by TASC Examinee
The candidate named above will be taking:
£ The entire TACS which consist of Reading, Writing, Mathematics, Science and Social Studies;
Or check the content test/s that the candidate named above will be taking:
£ Writing / £ Reading / £ Social Studies£ Mathematics / £ Science
SIGNED RELEASE -The TASC Candidate must check and sign this release section.
£ I understand that the local and state TASC examiners, accredited schools that I attended, Job Corp and workforce agencies with which data sharing agreements exist for the purposes of meeting national performance measurement standards will automatically have access to my records.
£ I affirm that I agree to the terms set forth by TASC, the West Virginia TASC Testing Office, and the local jurisdictions that were viewed during my online registration.
Signature of TASC Candidate: ______Date: ______
ID must be presented during each testing session.
NO CELL PHONES ARE ALLOWED IN TESTING ROOM.
Should a cell phone be found at my seat or on my person, the TASC test materials will be collected, my test scores will not be valid, and my cell phone will be confiscated. I will be required to leave the testing center. I may not reschedule to test for six months and after the six months will need permission from the State TASC Administrator to test.
*TASC candidates sixteen (16) years of age placed in an IEP, Mountaineer Challenge Academy or Job Corps may take the TASC Tests without an approved waiver from the WVDE. Nevertheless, the status of the sixteen (16) year old during the school term must follow the guidelines set forth by the West Virginia Legislature. Please, refer to GUIDELINES FOR ALLOWING A SIXTEEN (16) YEAR OLD TO TAKE THE TASC® TESTS School-Term 2010-2011 through School Term 2013-2014.