Achieve!

In-Person Registration Form

For remote administration, please see Remote Administration Registration

Desired tester:
Desired test:
Test date & time:
Test location:
Parent/guardian Name:
Parents' email:
Note: Please add cindy@achievementtesting.info to your Contacts to avoid emails going to Spam.
Parents' home phone:
Parents' cell phone: Texting available?
School Name:
Teacher:

Full mailing address including city and state:
Street
City State ZIP

Student 1
    Full Name: Male    Female

    Date of Birth: Grade:

Student 2
    Full Name: Male    Female

    Date of Birth: Grade:

Student 3
    Full Name: Male    Female

    Date of Birth: Grade:

Fees:

Woodcock-Johnson IV (check Basic plus desired additions):
$90 Basic
+ $10 Basic Writing Skills
+ $10 Phoneme-Grapheme Knowledge
+ $5 Oral Reading
+ $20 Reading Comprehension
+ $10 Math Problem Solving
+ $20 Academic Knowledge
+ $50 Broad Oral Language
+ $15 Phonetic Coding

$60 Iowa Assessments April 16, 2024 in Weaverville
+ $25 CogAT Cognitive Abilities Test
$60 Iowa Assessments May 20, 2024 in Franklin
+ $25 CogAT Cognitive Abilities Test
$75 Stanford 10 May 21-24, 2024 in Franklin

Discounts: Discount names:
Total: Please note amount. The total will be confirmed and an invoice will be sent.

Submission indicates your consent to use of this information for test administration purposes. See Privacy for more information.

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