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Student Code
High School Code
Last Name
First Name
Middle Initial
Grade
Date of Birth
State Student ID
Filler
Test Code
Delivery Format
Local Student ID
FillerGender
Address
City
State
Zip Code
State Use Question 1
State Use Question 2
State Use Question 3
State Use Question 4
State Use Question 5
State Use Question 6
State Use Question 7
State Use Question 8
State Use Question 9
State Use Question 10
State Use Question 11
State Use Question 12
State Use Question 13
State Use Question 14
State Use Question 15
State Use Question 16
State Use Question 17
State Use Question 18
State Use Question 19
State Use Question 20
Reporting High School Code
Student Test Code Key (UUID)
Contract-ID-Enterprise
Contract Code
Non-College Reportable
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654321SampleSusie111/1/2001123456mcp
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