Fillable Released Tests Order Form (Texas Assessment)

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Released Tests Order Form (Texas Assessment)

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The Released Tests Order Form (Texas Assessment) form is 16 pages long and contains:

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Country of origin: US
File type: PDF

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Select the item(s) that you want to order and indicate the quantities and totals.

A shipping/handling fee will be added to your total, as well as applicable state taxes. (See page 9.)

For information about ordering, contact ETS Order Services at 800-537-3160 or os_internet@ets.org.

Please Provide the Date Materials Need to Arrive

DATE:______________________________________________________________________________________________

Please allow 2–3 weeks from receipt of order for processing and shipping materials.

STAAR Grade 3 Released Test Packages

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 3 Math –

Bundle – English

Each package contains:

25 test booklets 801319

1 answer key

$22.00 5.1

STAAR Grade 3 Math –

Bundle – Spanish

Each package contains:

25 test booklets 801321

1 answer key

$22.00 5.1

STAAR Grade 3 Math –

Single Test Booklet –

English

Each package contains:

1 test booklet 801248

1 answer key 801278

$5.00 0.3

STAAR Grade 3 Math –

Single Test Booklet –

Spanish

Each package contains:

1 test booklet 801249

1 answer key 801279

$5.00 0.3

STAAR Grade 3

Reading – Bundle –

English

Each package contains:

25 test booklets 801325

1 answer key

$22.00 5.1

STAAR Grade 3

Reading – Bundle –

Spanish

Each package contains:

25 test booklets 801327

1 answer key

$22.00 5.1

STAAR Grade 3

Reading – Single Test

Booklet – English

Each package contains:

1 test booklet 801250

1 answer key 801280

$5.00 0.3

STAAR Grade 3

Reading – Single Test

Booklet – Spanish

Each package contains:

1 test booklet 801251

1 answer key 801281

$5.00 0.3

2017 State of Texas Assessments of

Academic Readiness (STAAR

)

Released Tests Order Form

Use this form to order STAAR released tests

administered Spring 2017.

2017 STAAR

Released Tests Order Form (continued) Page 2

STAAR Grade 4 Released Test Packages

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 4 Math –

Bundle – English

Each package contains:

25 test booklets 801329

1 answer key

$22.00 5.1

STAAR Grade 4 Math –

Bundle – Spanish

Each package contains:

25 test booklets 801331

1 answer key

$22.00 5.1

STAAR Grade 4 Math –

Single Test Booklet –

English

Each package contains:

1 test booklet 801252

1 answer key 801282

$5.00 0.3

STAAR Grade 4 Math –

Single Test Booklet –

Spanish

Each package contains:

1 test booklet 801253

1 answer key 801283

$5.00 0.3

STAAR Grade 4

Reading – Bundle –

English

Each package contains:

25 test booklets 801335

1 answer key

$22.00 5.1

STAAR Grade 4

Reading – Bundle –

Spanish

Each package contains:

25 test booklets 801337

1 answer key

$22.00 5.1

STAAR Grade 4

Reading – Single Test

Booklet – English

Each package contains:

1 test booklet 801254

1 answer key 801284

$5.00 0.3

STAAR Grade 4

Reading – Single Test

Booklet – Spanish

Each package contains:

1 test booklet 801255

1 answer key 801285

$5.00 0.3

STAAR Grade 4

Writing – Bundle –

English

Each package contains:

25 test booklets 801339

1 answer key

1 scoring guide

$22.00 3.6

STAAR Grade 4

Writing – Bundle –

Spanish

Each package contains:

25 test booklets 801341

1 answer key

1 scoring guide

$22.00 3.6

STAAR Grade 4

Writing – Single Test

Booklet – English

Each package contains:

1 test booklet 801256

1 answer key 801286

1 scoring guide 801305

$5.00 0.7

STAAR Grade 4

Writing – Single Test

Booklet – Spanish

Each package contains:

1 test booklet 801257

1 answer key 801287

1 scoring guide 801306

$5.00 0.7

2017 STAAR

Released Tests Order Form (continued) Page 3

STAAR Grade 5 Released Test Packages

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 5 Math –

Bundle – English

Each package contains:

25 test booklets 801398

1 answer key

$22.00 5.1

STAAR Grade 5 Math –

Bundle – Spanish

Each package contains:

25 test booklets 801400

1 answer key

$22.00 5.1

STAAR Grade 5 Math –

Single Test Booklet –

English

Each package contains:

1 test booklet 801258

1 answer key 801288

$5.00 0.3

STAAR Grade 5 Math –

Single Test Booklet –

Spanish

Each package contains:

1 test booklet 801259

1 answer key 801289

$5.00 0.3

STAAR Grade 5

Reading – Bundle –

English

Each package contains:

25 test booklets 801404

1 answer key

$22.00 5.1

STAAR Grade 5

Reading – Bundle –

Spanish

Each package contains:

25 test booklets 801406

1 answer key

$22.00 5.1

STAAR Grade 5

Reading – Single Test

Booklet – English

Each package contains:

1 test booklet 801260

1 answer key 801290

$5.00 0.3

STAAR Grade 5

Reading – Single Test

Booklet – Spanish

Each package contains:

1 test booklet 801261

1 answer key 801291

$5.00 0.3

STAAR Grade 5

Science – Bundle –

English

Each package contains:

25 test booklets 801408

1 answer key

$22.00 5.1

STAAR Grade 5

Science – Bundle –

Spanish

Each package contains:

25 test booklets 801410

1 answer key

$22.00 5.1

STAAR Grade 5

Science – Single Test

Booklet – English

Each package contains:

1 test booklet 801262

1 answer key 801292

$5.00 0.3

STAAR Grade 5

Science – Single Test

Booklet – Spanish

Each package contains:

1 test booklet 801263

1 answer key 801293

$5.00 0.3

2017 STAAR

Released Tests Order Form (continued) Page 4

STAAR Grade 6 Released Test Packages

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 6 Math –

Bundle – English

Each package contains:

25 test booklets 801412

1 answer key

$22.00 5.1

STAAR Grade 6 Math –

Single Test Booklet –

English

Each package contains:

1 test booklet 801264

1 answer key 801294

$5.00 0.3

STAAR Grade 6

Reading – Bundle –

English

Each package contains:

25 test booklets 801415

1 answer key

$22.00 5.1

STAAR Grade 6

Reading – Single Test

Booklet – English

Each package contains:

1 test booklet 801265

1 answer key 801295

$5.00 0.3

STAAR Grade 7 Released Test Packages

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 7 Math –

Bundle – English

Each package contains:

25 test booklets 801417

1 answer key

$22.00 5.1

STAAR Grade 7 Math –

Single Test Booklet –

English

Each package contains:

1 test booklet 801266

1 answer key 801296

$5.00 0.3

STAAR Grade 7

Reading – Bundle –

English

Each package contains:

25 test booklets 801420

1 answer key

$22.00 5.1

STAAR Grade 7

Reading – Single Test

Booklet – English

Each package contains:

1 test booklet 801267

1 answer key 801297

$5.00 0.3

STAAR Grade 7

Writing – Bundle –

English

Each package contains:

25 test booklets 801422

1 answer key

1 scoring guide

$22.00 4.85

STAAR Grade 7

Writing – Single Test

Booklet – English

Each package contains:

1 test booklet 801268

1 answer key 801298

1 scoring guide 801307

$5.00 0.75

2017 STAAR

Released Tests Order Form (continued) Page 5

STAAR Grade 8 Released Test Packages

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 8 Math –

Bundle – English

Each package contains:

25 test booklets 801424

1 answer key

$22.00 5.1

STAAR Grade 8 Math –

Single Test Booklet –

English

Each package contains:

1 test booklet 801269

1 answer key 801299

$5.00 0.3

STAAR Grade 8

Reading – Bundle –

English

Each package contains:

25 test booklets 801427

1 answer key

$22.00 5.1

STAAR Grade 8

Reading – Single Test

Booklet – English

Each package contains:

1 test booklet 801270

1 answer key 801300

$5.00 0.3

STAAR Grade 8

Science – Bundle –

English

Each package contains:

25 test booklets 801429

1 answer key

$22.00 5.1

STAAR Grade 8

Science – Single Test

Booklet – English

Each package contains:

1 test booklet 801271

1 answer key 801301

$5.00 0.3

STAAR Grade 8 Social

Studies – Bundle –

English

Each package contains:

25 test booklets 801431

1 answer key

$22.00 0.3

STAAR Grade 8 Social

Studies – Single Test

Booklet – English

Each package contains:

1 test booklet 801272

1 answer key 801302

$5.00 0.3

2017 STAAR

Released Tests Order Form (continued) Page 6

STAAR End-of-Course Released Test Packages

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Algebra I –

Bundle – English

Each package contains:

25 test booklets 801308

1 answer key

$22.00 12.6

STAAR Algebra I –

Single Test Booklet –

English

Each package contains:

1 test booklet 801243

1 answer key 801273

$5.00 0.6

STAAR English I –

Bundle – English

Each package contains:

25 test booklets 801310

1 answer key

1 scoring guide

$22.00 14.1

STAAR English I –

Single Test Booklet –

English

Each package contains:

1 test booklet 801244

1 answer key 801274

1 scoring guide 801303

$5.00 2.1

STAAR English II –

Bundle – English

Each package contains:

25 test booklets 801312

1 answer key

1 scoring guide

$22.00 14.1

STAAR English II –

Single Test Booklet –

English

Each package contains:

1 test booklet 801245

1 answer key 801275

1 scoring guide 801304

$5.00 2.1

STAAR Biology –

Bundle – English

Each package contains:

25 test booklets 801314

1 answer key

$22.00 14.1

STAAR Biology – Single

Test Booklet – English

Each package contains:

1 test booklet 801246

1 answer key 801276

$5.00 0.6

STAAR U.S. History –

Bundle – English

Each package contains:

25 test booklets 801316

1 answer key

$22.00 12.6

STAAR U.S. History –

Single Test Booklet –

English

Each package contains:

1 test booklet 801247

1 answer key 801277

$5.00 0.6

2017 STAAR

Released Tests Order Form (continued) Page 7

STAAR Optional Combined Released Test Packages

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 3

Optional Combined –

Released Package –

English

Each package contains:

25 test booklets for each subject

administered at Grade 3 and

1 answer key for each subject

$33.00 10.2

Reading

Mathematics

801323

STAAR Grade 3

Optional Combined –

Released Package –

Spanish

Each package contains:

25 test booklets for each subject

administered at Grade 3 and

1 answer key for each subject

$33.00 10.2

Reading

Mathematics

801324

STAAR Grade 4

Optional Combined –

Released Package –

English

Each package contains:

25 test booklets for each subject

administered at Grade 4 and

1 answer key for each subject, and

1 writing scoring guide

$33.00 12.8

Reading

Mathematics

Writing

801333

STAAR Grade 4

Optional Combined –

Released Package –

Spanish

Each package contains:

25 test booklets for each subject

administered at Grade 4 and

1 answer key for each subject, and

1 writing scoring guide

$33.00 13.3

Reading

Mathematics

Writing

801334

STAAR Grade 5

Optional Combined –

Released Package –

English

Each package contains:

25 test booklets for each subject

administered at Grade 5 and

1 answer key for each subject

$33.00 15.3

Reading

Mathematics

Science

801402

STAAR Grade 5

Optional Combined –

Released Package –

Spanish

Each package contains:

25 test booklets for each subject

administered at Grade 5 and

1 answer key for each subject

$33.00 15.3

Reading

Mathematics

Science

801403

STAAR Grade 6

Optional Combined –

Released Package –

English

Each package contains:

25 test booklets for each subject

administered at Grade 6 and

1 answer key for each subject

$33.00 10.2

Reading

Mathematics

801414

2017 STAAR

Released Tests Order Form (continued) Page 8

STAAR Optional Combined Released Test Packages (continued)

Package Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 7

Optional Combined –

Released Package –

English

Each package contains:

25 test booklets for each subject

administered at Grade 7 and 1

answer key for each subject, and 1

writing scoring guide

$33.00 13.3

Reading

Mathematics

Writing

801419

STAAR Grade 8

Optional Combined –

Released Package –

English

Each package contains:

25 test booklets for each subject

administered at Grade 8 and 1

answer key for each subject

$42.00 20.4

Reading

Mathematics

Science

Social Studies

801426

STAAR EOC Optional

Combined – Released

Package – English

Each package contains:

25 test booklets for each STAAR

End-of-Course (EOC) subject, 1

answer key for each subject, and

1 writing scoring guide for English

I and 1 writing scoring guide for

English II

$58.00 66

Algebra I

English I

English II

Biology

U.S. History

801318

STAAR Writing Scoring Guides

Guide Contents

Order

Quantity

Price

Total

Price

Weight

Total

Weight

STAAR Grade 4 Writing

Scoring Guide – English

Each package contains:

1 scoring guide 801305

$5.00 0.5

STAAR Grade 4 Writing

Scoring Guide – Spanish

Each package contains:

1 scoring guide 801306

$5.00 0.5

STAAR Grade 7 Writing

Scoring Guide – English

Each package contains:

1 scoring guide 801307

$5.00 0.5

STAAR English I Writing

Scoring Guide – English

Each package contains:

1 scoring guide 801303

$5.00 0.5

STAAR English II Writing

Scoring Guide – English

Each package contains:

1 scoring guide 801304

$5.00 0.5

2017 STAAR

Released Tests Order Form (continued) Page 9

Order Totals

Publications on this order form cannot be returned for a refund. • Please provide tax exemption forms if applicable.

Total Cost for Test Materials $

Total Weight for Test Materials

* Total Shipping Charge (Please refer to the shipping charge by weight on the table below.) $

Attach tax-exempt certicate or add applicable TX state sales tax (6.25%) and

appropriate county or city sales tax (%s vary by locale), which can be veried at

https://mycpa.cpa.state.tx.us/atj/. Total combined state, county and

city sales tax should not exceed 8.25%.

TOTAL AMOUNT ENCLOSED $

Shipping Charges

Weight (0–60 lbs) Shipping and Handling Costs Weight (61–180 lbs)

Shipping and Handling Costs

0–5 lbs $10.12 61–90 lbs $42.06

6–15 lbs $15.35 91–120 lbs $59.29

16–30 lbs $22.25 121–150 lbs $65.44

31–60 lbs $35.61 151–180 lbs $71.59

For orders over 180 pounds please include $6.15 for each additional 30 pound increment.

For orders of 20 cartons or more, freight pricing is available at a per pallet rate.

Please contact ETS Order Services for a quote before submitting your order:

800-537-3160 or os_internet@ets.org

2017 STAAR

Released Tests Order Form (continued) Page 10

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Title

Institution

Address

City, State, Zip

Phone

Billing Information (if different)

Name

Title

Institution

Address

City, State, Zip

Phone

Signature

Method of Payment:

Cardholder Information (For Fax or Mail ONLY)

Order Services will call for credit card information for email orders.

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AMEX

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

Discover Card

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(made payable to “ETS”)

Cardholder Name:

Card Number:

Expiration Date:



Purchase Order #:

* I authorize ETS to charge this account:

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Yes

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_____________________

* Signature:

Submitting Your Order

Mail, fax, or email the completed order form and payment to:

ETS Order Services

PO Box 6785

Princeton, NJ 08541-6051

os_internet@ets.org

Fax: 800-417-0210

124097-114911 • UNLWEB1117

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