Kentucky Department of Education

 

Forms

Last Updated on Friday, May 04, 2012 at 9:02 AM

The Division of Support and Research has created a number of forms that can be downloaded for use by schools and districts in implementing the state's Assessment and Accountability Program.

These forms are applicable to

Kentucky Performance Rating for Educational Progress (K-PREP)

K-PREP Alternate Assessment

EXPLORE

PLAN

ACT

K-PREP End-of-Course (QualityCore)

COMPASS

 

2011-2012 MEDICAL EXEMPTION FORM to request that student be granted a medical exemption from the statewide and accountability program for students in the regular assessment program (Note: a student's handicapping condition, if any, cannot be the basis for a medical exemption)

INFORMATION FOR THIS FORM MUST BE SUBMITTED ELECTRONICALLY VIA SDRR. KEEP PAPER FORM ON-FILE IN DISTRICT.

HIPPA Form

2011-2012 Medical Exemption Form HIPAA Form

2011-2012 Extraordinary Circumstances Exemption Form 

This replaces the Other Exemption Form.

INFORMATION FOR THIS FORM MUST BE SUBMITTED ELECTRONICALLY THROUGH SDRR. KEEP PAPER FORM ON-FILE IN DISTRICT.

2011-2012 Extraordinary Circumstances Exemption Form

2011-2012 MEDICAL EMERGENCY FORM to be used for medical emergencies that require accommodations during testing that are not a part of an IEP, 504 Plan or PSP.

ANNOTATE THE ACCOMMODATION GIVEN ON THE APPROPRIATE ROSTER. KEEP PAPER FORM ON-FILE IN DISTRICT.

2011-2012 Medical Emergency Form

Spring 2012 Seating Chart

2012 Spring Seating Chart

 

Nondisclosure Agreement sets conditions for access to secure testing materials

2012 Nondisclosure Form
Notification Form to inform authorities of alerts papers and their contents Notification of Authorities Form Notification of Authorities Form

Allegations Reporting Website

Allegation Reporting Form and other information on how to gather documentation and report an allegation is available on the Allegations Reporting page.

 

2012 K-PREP EXTENDED RESPONSE TEMPLATE

2012 K-PREP SHORT ANSWER TEMPLATE

2012 K-PREP Extended Response Template 2012 K-PREP Short Answer Response Template
On-Demand Writing can be extended to the appropriate number of pages using the same extended-response template. Margins, font size and spacing are locked down.  Remove the sample text and type in question number and the answer. As in the past, students will have to stop typing at the point where the line goes below the set margin for each sample.  Only the text within the answer box will be scored.
For more information contact:

Assessment Information
500 Mero Street, 18th Floor CPT
Frankfort, KY 40601
Phone: (502) 564-4394
Fax: (502) 564-7749
dacinfor@education.ky.gov