Sample Superintendent's Assurance of Proper Test Administration
Sample Confirmation of Training Participation and Receipt of Test Administrator's Manuals (TAMs) and Test Security Requirements
CBT Secure Materials Internal Tracking Form
Principal's Certification of Proper Test Administration (PCPA) statements
MCAS Nondisclosure Acknowledgment for Test Administrators Administering Certain Accommodations
MCAS Alternate Setting Request Form
"MCAS Testing — Do Not Disturb" Sample Sign
"Examples of Prohibited Materials During MCAS Testing" Sample Sign
Student Responsibilities during MCAS Testing Sample Form
Student Responsibilities during MCAS Testing Sample Letter
Sample Non-Participation Letters and Forms (in English and other languages)
Sample Letter to Employers
PBT Test Materials Internal Tracking Form
Materials Summary
Sample UPS Return Service Label for PBT
Approved Graphic Organizers and Reference Sheets for Students with Disabilities on MCAS, and Cover Sheet to Request Customized Reference Sheet
Student Accommodation Refusal Form
Documentation of MCAS Accommodations for an EL Student
Last Updated: January 16, 2024
Massachusetts Department of Elementary and Secondary Education 135 Santilli Highway, Everett, MA 02149
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