March 2023 MCAS Retest Sample Administration Forms and Materials

CBT Sample Materials

• Sample PAN Materials
  • Session Student Roster
  • Proctor Testing Ticket
  • Student Testing Tickets, including samples for Human Read-Aloud/Human Signer and Text-to-Speech
  • PNP Report-Accessibility Features and Accommodations for Student Tests

Test Security- and Training-Related Materials

• 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

• MCAS Alternate Setting Request Form

Sample Signs and Materials

• "MCAS Testing — Do Not Disturb" Sample Sign

• "Examples of Prohibited Materials During MCAS Testing" Sample Sign

Sample Letters and Forms

• 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

Forms and Materials for PBT Only

• PBT Test Materials Internal Tracking Form

• Answer Booklet Sample Covers
  • Front Cover
    • When Student ID Label Is Used
    • When Student ID Label Is NOT Used
  • Inside Back Cover
  • Outside Back Cover
  
  

• Materials Summary

• Sample UPS Return Service Label for PBT

Forms and Materials for Accommodations

• Student Accommodation Refusal Form

• Documentation of MCAS Accommodations for an EL Student

• Request for Permission to Test an Adult with Accommodations
  Instructions to complete this form:
  • Click "Continue" on the first screen to next access the form. Complete all of the information requested on the form, and click "Add attachments" near the bottom right corner to attach documentation of the disability (see Appendix C of the Principal's Administration Manual for the required documentation).
  • Complete one form per adult test-taker. To submit multiple requests, click "Portal Guest, MCAS (DOE)" in the upper-right corner, and select "Logout." Then, return to the request form, where you will submit a new form for each test-taker.
  • Note that you will be automatically logged out of the online form after 30 minutes of inactivity. After you submit the request, you will receive a confirmation email with your ticket number and a copy of the information you submitted through the online form. You may contact the Office of Student Assessment Services with questions.
  
  

Last Updated: September 21, 2023