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2009 Standardized Testing and Reporting:

STS Request for Grade 2 Mathematics Test Response Transparencies

Note: 2009 STAR Standards-based Tests in Spanish (STS) for Grade 2 Mathematics Test Response Transparencies must be kept secure and are not to be copied. Mathematics transparencies are to be returned to the STAR Processing Center in the box of nonscorable materials with the grade two Directions for Administration following the administration of the multiple-choice test. Fax this form to STAR TAC at 800-541-8455 at least four weeks before the test administration. Transparencies will be shipped to the shipping contact listed in Part 2. Part 1. Test Administration and Number of Transparency Sets Information School districts: Use Part 4 on the second page of Number of schools requiring transparencies: this form to list schools and the number of sets of Number of sets of transparencies: STS for Grade 2 Mathematics test answer trans- parencies per school. Requests made without a list of schools cannot be processed.

First multiple-choice administration dates (from–to):

Part 2. Shipping Information

Person making the request Telephone number

School district name or Charter school name CDS code or Charter school code

Shipping address, line 1

Shipping address, line 2

Shipping address, line 3

Shipping contact name

District STAR Coordinator signature Date signed

This form may be photocopied. Revised 02/02/09 © 2009 California Department of Education Page 2

Part 3. Instructions for Distributing Transparencies District STAR Coordinators Test Site Coordinators Include with school’s shipment of test Store the transparencies securely. Distribute materials. Instruct test site coordinators to to the appropriate second grade teacher(s) on Before testing return to the school district with grade two the day of testing only. DFAs. Return transparencies to the STAR Process- Return transparencies to the district STAR After testing ing Center by packing with grade two DFAs coordinator by packing with grade two in the box with the green label. DFAs in the box with the green label.

2009 STAR: Request for STS for Grade 2 Mathematics Test Response Transparencies Part 4. List of District Schools

School districts: Use this page to list schools and the number of sets of STS for Grade 2 Mathematics Test Response Transparencies per school. Because different schools within a school district can be assigned different versions of the grade two STS, requests made without a list of schools cannot be processed. Photocopy this page to add more schools. Test response transparencies are only for students who receive instruction in and will have test questions presented in American Sign Language as designated by the student’s IEP or Section 504 plan.

School District Name:

# sets School name School’s testing window

This form may be photocopied. Revised 02/02/09 © 2009 California Department of Education Page 3

This form may be photocopied. Revised 02/02/09 © 2009 California Department of Education