The diagnostic Profile is an optional report that shows how your student performed in regards to specific learning objectives measured by the test.
Student's Full Name
Date of Birth
Grade Level for testing
Diagnostic Profile Yes or No
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· Please put a * by the name of any student taking the SRA nonreading test.
· Make checks payable to Basic Skills.
· Mail Registration by May 5, 2007
· Mail to: Janet Haddock, PO Box G, Pilot Rock, OR 97868
Testing Fees:
Testing total ($36/student) $_________
Diagnostic Profile ($7/student) $_________ Total $_________
Please note: Extra copies of testing information and registration can be found at http://personal.my180.net/thesmiths/phsa.html