ISEE ISEE: TEST SITE APPLICATION (FORM 1 of 4) INDEPENDENT SCHOOL ENTRANCE EXAM SCHOOL INFORMATION TESTING DATES

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1 ISEE: TEST SITE APPLICATION (FORM 1 of 4) ERB Code: ISEE Supervisor Name: Position: Direct Phone or Extension: TESTING DATES Example: Dec. 4, 2011 Open Online Paper :30 AM 9:00 AM Yes Yes Date *NOTE: Grade 4 is ONLINE ONLY **please complete pg. 3 if offering accommodations Open or Closed ISEE Online* or ISEE Paper Testing Applicants to Grades Check-In Time Start Time Testing with (Yes** or No) Walk-In Date (Yes or No) If you have worked with an ERB Representative, please indicate their name here: Educational Records Bureau

2 ISEE: ROOM REQUEST FORM (FORM 2 of 4) (This form must be completed in order to process your test dates) Please choose how you would like your materials sorted. SORT BY LEVEL Primary Level Capacity (applicants to Grade 4) NOT APPLICABLE # of Students Paper/Pencil Testing Lower Level Capacity (applicants to Grades 5 & 6) Middle/Upper Level Capacity (applicants to Grades 7 12) Testing with (if applicable) Total Capacity # of Students Online Testing Lower Level Capacity (applicants to Grades 5 & 6) Middle/Upper Level Capacity (applicants to Grades 7 12) Testing with (if applicable) Total Computer Capacity OR SORT BY ROOMS Room Name/Number # of Students in Room (Please continue on another sheet of paper, if needed) Is this a Lower Level Room? Is this a Non-Standard Room? ISEE Test Supervisor Signature: Date: Educational Records Bureau

3 ISEE: TESTING WITH ACCOMMODATIONS (FORM 3 of 4) Complete only if offering accommodations. Supervisor s Name: Supervisor s AVAILABLE ACCOMMODATIONS AT TEST SITE Primary Level ISEE (Applicants to Grade 4 - online only) Lower Level ISEE (Applicants to Grades 5 & 6) Large-print test Circle in test booklet Use of calculator Computer for essay Reader Scribe (individual) Middle and Upper Level ISEE (Applicants to Grades 7 12) Large-print test Circle in test booklet Use of calculator Computer for essay Reader Scribe (individual) The ISEE thanks you for your commitment to test students with all types of learning styles.,

4 ISEE: GUIDES ORDER FORM (FORM 4 of 4) Please print or type the following information: Number of 56-page Student Guides needed for (packed in boxes of 100 each): and/or Number of 8-page ISEE Student Guide: Quick Facts needed for (packed in boxes of 100 each): Please Note: ISEE Student Guides for the year do NOT include ISEE Primary 4 testing as it is only available for closed testing. Families need either the 56-page Student Guide or the 8-page ISEE Student Guide: Quick Facts, but not both. SHIP TO Name: Title: For ERB use only: Date sent: Number of guides sent:

5 ISEE PRIMARY (ENTRANCE TO GRADES 2 4) ISEE ONLINE TEST SITE APPLICATION Thank you for your interest in our ISEE Online admission test for entrance to Grade 4 (ISEE Primary 4), which will be available in the Fall of If you would like to become a test site, please complete the information below and we will contact you to certify the school as an online test site. ERB Member #: ISEE Primary Supervisor Name: Position: Direct Phone or Extension: Number of computers available: Windows Mac Please send this form to at or fax to (212) Our Operations Office will contact you to ensure that your school has the appropriate online capabilities to administer the secure test. Once confirmed, we will assist you with scheduling the test on the date(s) chosen by your school. All online testing for the year will be considered closed site testing the test dates will not be publicized by ERB, but by your school.

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