School Code Form PDF Details

In navigating the complexities of administering standardized testing, the INTERNATIONAL SECONDARY SCHOOL CODE REQUEST FORM emerges as a pivotal tool, particularly for institutions seeking a formal identification number to participate in the realm of College Board exams. This form serves multiple purposes, from facilitating the receipt of exam scores to the actual hosting of assessments for a variety of tests including AP®, PSAT//NMSQT®, SAT®, and ACT. It acknowledges the diversity of educational models by considering the eligibility of virtual or internet schools on a case-by-case basis, requiring a detailed testing plan for those intending to administer exams, yet explicitly excludes home schools from test administration, directing them instead to follow specific guidelines. Every section of this form demands attention to detail, from the provision of the official school name to the requirement for notarization upon completion. It delves into the specifics of the school’s operational facets—type of school, enrollment figures, the array of diplomas or credentials offered, and even addresses the security protocols for test materials. This form is not just a request for a code; it is a comprehensive audit of an institution’s readiness and capability to partake responsibly in standardized student assessments. The intricate details underscore the commitment of educational institutions to uphold integrity and quality in the testing process, illustrating the form’s role as a critical step towards achieving that goal.

QuestionAnswer
Form NameSchool Code Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesschool code request, code request college get, code request form, international code request make

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INTERNATIONAL SECONDARY SCHOOL CODE REQUEST FORM

Complete both sides of this form to apply for a school code number

Virtual / Internet schools may be eligible to receive exam scores depending on answers provided via the questionnaire below. Virtual / Internet schools seeking to administer exams will be reviewed on a case by case basis and are required to submit a testing plan. Contact ETS-Code Control for a testing plan template. Home schools are NOT eligible to administer College Board exams. Home schools should review the procedures for home-schooled students for individual test programs at www.collegeboard.org.

Check all boxes that apply

I am requesting a school code for: AP® PSAT//NMSQT® SAT® ACT

I want to: Become a score recipient Administer assessments

1.

Official School Name: ___________________________________________________________________________________________________________

 

a. Shipping Address (may not be Postal Box):

 

b. Mailing Address (if different from shipping):

 

 

______________________________________________________

______________________________________________________________

 

______________________________________________________

______________________________________________________________

 

(city)

(county)

state)

(zip)

(city)

(county)

(state)

(zip)

 

c. Telephone number: (_____) ______________________________

d. Fax number: (_____) __________________________________________

 

e. School E-mail Address: _________________________________

f. School Website: _______________________________________________

 

g. Are you a member of a school district? Yes

No

If yes, list the school district: ________________________________________

 

h. Do you share this address with any other school/organization? Yes No

If yes, list the school: ____________________________________

2.

When was the school established?

______ /______ /_______ mm/dd/yy

 

 

 

 

3.

Has your school ever used a different name, address, or code? Yes

No

 

 

 

 

a. If so, enter old information here: ___________________________________________________________________________________________

 

b. If a merger, list all schools/codes affected: ____________________________________________________________________________________

4.Type of School (check all that apply):

public

church school or other religious

private (independent)

correctional youth facility

charter school

Home School Association

correspondence

course delivery primarily online

other (submit explanation with this form)

5.

Enter the number of students enrolled in each grade: 9 _______ 10 _______ 11 _______ 12 _______

 

6.

Please list the name(s) of the diploma(s) or credential(s) conferred to students upon successful completion of your offered course of study.

 

 

________________________________________________________________________________________________________________________

7.

Do you hold test preparation classes or tutoring activities to prepare students for the AP, PSAT/NMSQT, SAT or other exams? Yes

No

 

If yes, you must provide a description of the programs offered and submit it together with this request.

 

Rev. 04/07/2014

Continued on the next page

For Office Use Only

CODE NUMBER_________________

DATE

8.

Are you accredited by one of the agencies/organizations listed on the attached College Board Approved Accreditation list? Yes

No

 

If yes, which one and provide documentation? ___________________________________ School’s accreditation expiration date: ____/_____/_________mm/dd/yy

 

If no, are you accredited by any other agency/organization?Yes

No If yes, please note the agency/organization: _________________________________

9.

Enter the number of full-time students taught on-site during the day for each grade: 9 _______ 10 _______ 11 _______ 12

_______

a.What days and hours are students required to be on-site for instruction? _______________________________________________________________

10.

Total number of secondary school (grades 9-12) teachers: Full-time _______

Part-time _______

 

 

11.

Are any relatives of students enrolled in grades 9-12 employed as teachers or administrators at this school?

Yes

No

 

If yes, how many teachers and administrators are related to students? Teachers _______

Administrators

_______

 

12.

Total number of secondary school teachers with the highest college degree as:

 

 

 

 

 

Less than Bachelor’s

_______

Bachelor’s _______

Master’s _______

Doctorate _______

 

13.

Which academic disciplines are included in a typical student’s schedule at this school each year? (check all that apply)

 

 

English Math History

Science Foreign Language

Other (please list): ______________________________________________________

14.

School has previously administered (check all that apply): AP

PSAT/NMSQT

SAT

Other : ________________ (note test center #_________________)

 

Please enter the date of the most recent administration for any of these exams. ___/____/_____mm/dd/yy

 

 

15.

School primarily teaches:

On-site during the day

On-line

On-site during the evening

 

 

 

Independent/Home School

Other (please explain)

 

 

 

16.Please answer the following questions about test security. Not Applicable- My institution only wants to receive scores.

a.Will testing be held at the address listed in #1?YesNo

b.Test material received by (name & title): ________________________________________________

c. Where would test material be received? Main Office Loading Dock Other (please specify) ______________________________________________

d. Where would test materials be stored? __________________________________________________________________________________________________

e. Can the storage area be locked? Yes No

f. Name and title of individual responsible for maintaining the security of test materials: ______________________________________________________________

g. Would any non-employed persons (office helpers, student aides, parents, or students) have access to this storage area? Yes No

By signing this form I confirm that all of the information provided is true and accurately describes the school named on this form. I understand that if any of the information is false, deactivation of the high school code and/or legal action may result.

Signature of Head of School Only: _________________________________

Print Name of Head of School: ___________________________________

Date: _____/_____/__________

This form must be notarized for your high school code request to be processed.

Notary’s Signature______________________________________________

This sworn before me on this the _______day of __________, ___________

My commission expires: _____/_____/__________

Send your completed High School Request Form to: ETS – Code Control

Email: codecontrol@ets.org

P.O. Box 6200, Mail Stop 25-Q

Phone: 609/771-7091

Princeton, NJ 08543 USA

FAX: 973/735-0392

Below is a list of the College Board approved accrediting agencies/organizations. Please indicate the agency/organization from which your institution has received accreditation on the line provided in Section II on the Code Request Form.

U.S. Schools

Department of Defense

Regional Accrediting Association (refer to the list below)

Middle States Association of Colleges and Schools

New England Association of Schools and Colleges

3624 Market Street

209 Burlington Road

Philadelphia, PA 19104

Bedford, MA 01730

Phone: 215-662-5600

Phone: 781-271-0022

Fax: 215-662-0957

Fax:781-271-0950

North Central Association of Colleges and Schools

Northwest Association of Accredited Schools

Arizona State University

Boise State University

PO Box 874705

1910 University Drive

Tempe, AZ 85287

Boise, ID 83725

Phone: 800-525-9517

Phone: 208-426-5727

Fax: 480-965-8658

Fax: 208-334-3228

Southern Association of Colleges and Schools

Western Association of Schools and Colleges

1866 Southern Lane

533 Airport Boulevard, Suite 200

Decatur, GA 30033-4097

Burlingame, CA 94010-2009

Phone: 404-679-4500

Phone: 650-696-1060

Fax: 404-679-4541

Fax: 650-696-1867

International Schools

Ministry of Education

Regional Accrediting Association (refer to the list above)

International Accrediting Agency (below)

Council of International Schools

Calle Augusto Figueroa 32-34/1G

Madrid 28004 Spain

Phone: 34 91 522 6395 Fax: 34 91 521 4068

Canadian Schools

Provincial Ministry of Education

School District/System

Canadian International Standards Institute

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