Mail In Scheduling Form - to be used for Kaufman scheduling - not required for online credit card orders.
_____KTEA II BRIEF FORM: Includes tests in the basic skills that must be tested annually in NC for homeschoolers (reading, word recognition and comprehension, math computation and application, as well as written language and spelling) COST: $65 (Approximate testing time: 45 minutes)
_____KTEA II COMPREHENSIVE TEST: Gives a thorough and detailed assessment of the key academic skills in reading, math, written language, and oral language. This test will give you more detailed and valuable diagnostic information as well as an enhanced error analysis with research based remediation strategies to use with your student. COST: Only $100 at our office. (Approximate testing time: 2-3 hours)
_____KBIT2 BRIEF INTELLIGENT TEST: This test gives a quick measure of verbal and nonverbal cognitive ability, providing parents with an IQ composite score as well as the student's standard % rank by age. COST: $45.
_____KTEA II BRIEF FORM + KBIT2 BRIEF INTELLIGENT TEST (SAVE $10) Cost: $100.
_____KTEA II COMPREHENSIVE TEST + KBIT2 BRIEF INTELLIGENT TEST (SAVE $10) Cost: $135.
PARENT'S NAME_____________________________________________________________________________________________________________
STREET ADDRESS__________________________________________________________________________________________________
CITY ____________________________STATE ____________ZIP___________ EMAIL___________________________________________
HOME PHONE __________________________ CELL PHONE _________________________ OTHER PHONE_________________________
TEACHER NAME(S)__________________________________________________________________________________________________
SCHOOL NAME (OPTIONAL)__________________________________________________________________________________________
Notes:______________________________________________________________________________________________________________
Student's Name Grade Date of Birth
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WHICH MONTH DO YOU PREFER? (PLEASE CIRCLE) JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
WHICH WEEK DO YOU PREFER? (PLEASE CIRCLE) 1ST 2ND 3RD 4TH 5TH
WHICH DAYS ARE BEST FOR YOU? (PLEASE CIRCLE) MON TUE WED THU FRI SAT
WHAT TIMES ARE BEST FOR YOU? AM ___ PM ___ DOESN'T MATTER ___
Please note: We will do our best to schedule your testing at a convenient time for you.