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DOCUMENTATION OF TRANSCRIPTION
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NOTE: This form is to be completed for every instance in which an answer document is transcribed, or a test booklet is damaged and requires a replacement. Submit document to Student Assessment and retain a copy in your campus documentation for five years.
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Date:Campus:
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Campus Coordinators:
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Test Administrator:
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Monitor:
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December STAAR EOC – all subject tests
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February-April TELPAS Listening/Speaking and Reading
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STAAR - Gr. 3-8 RLA
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STAAR EOC – English I and English II
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STAAR - Gr. 3-8 Math
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STAAR EOC – Algebra I, Biology, and US History
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STAAR - Gr. 3-8 Science/Social Studies
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June EOC – all subject tests
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Other (specify):
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Student Name:
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PISD ID #:
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Student TSDS ID #:
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Grade (if applicable:
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Subject:
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Voided Test Booklet # (if applicable):
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New Test Booklet # (if applicable):
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Transcriber (if different than Test Administrator):
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Witness:
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4th Grade Essay transcribed due to online testing
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Designated Support of Basic Transcription required
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Student responses transferred from test booklet to answer document due to monitor error
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Test booklet was transcribed to another test booklet due to defects, make sure the replaced test booklet has the same form number
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Other: Provide a brief explanation of why the answer document was transcribed, OR why the test booklet had to be replaced.
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Principal Signagure (Required)Campus Coordinator(s) Signature(s) (Required)
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Campus Coordinator(s) Signature(s) (Required)
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