Achieve!

Registration Form

Location:
Remote
In-Person in Saluda NC
In-Person in Franklin NC (limited dates)
Other location by arrangement

Desired service:
Test date & time: Reserve a testing slot first
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 or V (check Academic Skills and Applications plus desired additions):
$80 Academic Skills and Applications
+ $20 Fluencies (in-person only)
+ $20 Academic Knowledge
+ $15 Phoneme-Grapheme Knowledge
+ $5 Oral Reading
+ $5 Reading Rate (in-person only)
+ $20 Reading Comprehension
+ $10 Math Problem Solving
+ $10 Basic Writing Skills
+ $35 Broad Oral Language
+ $15 Speed of Lexical Access
+ $15 Phonetic Coding
- $10 Substitute Editing for Writing Samples
- $10 October through February testing

$250 Online Chemistry 24-25
$250 Online Computer Science 24-25
$250 Online Conceptual Physics 24-25
$250 Online Test Prep 24-25

$60 Iowa Assessments April 2025 in Weaverville
+ $25 CogAT Cognitive Abilities Test
$60 Iowa Assessments May 2025 in Franklin
+ $25 CogAT Cognitive Abilities Test
Total: Please note amount.
This registration form does not collect fees.
Please choose your method of payment from Zelle, Achieve Shop, PayPal Invoice, check, or cash

Certification: My printed name below certifies that I agree to the following:

I will provide a computer that can use Zoom for remote services
I will provide lined paper for spelling and scratch paper for math (and pencils)
The student will be alone during testing
No recording of any kind will occur

Printed Name:

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

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