FORM - IMPORTANT DIRECTIONS - USE NO. 2 PENCIL

Sep 29, 2026

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Student diagnostic test form containing key fields for name, grade, test date, birth date, and student grade level. Includes explicit instructions for using a No. 2 pencil, filling circles completely, making heavy black marks, erasing cleanly when changing answers, and avoiding stray marks. Features sectioned answer areas and sample/indicator labels such as Sample A through Sample D and prompts related to discrimination samples, supporting standardized completion for assessment scoring.

LanguageEnglish

CategoryExam

FormatPDF

Pages40

Reading Time1 h 41 min

AccessFree to download

IMPORTANT DIRECTIONS

Use a No. 2 pencil only

Do NOT use ink or ballpoint pens

Make heavy black marks and avoid stray marks

Student Information

Student Name and Grade

Test Date and Birth Date

Student Grade Level and Test Level

Sample Sections

Sample A

Sample B

Sample C

Sample D

FORM B Diagnostic TestStudent NameGradeDateTeacher # IMPORTANT DIRECTIONSUSE NO.2 PENCIL ●Use a No.2 pencil only. ●Do NOT use ink or ballpoint pens. ●Make heavy black marks that fill the circle completely. ·Erase cleanly any answer you wish to change. ●Make no stray marks. | Test Date | | | | | | | --- | --- | --- | --- | --- | --- | | Mo | | Day | | Year | | | | | | | | | | ⑥◎
②②
③③
⑥⑥
⑨⑨ | | ⑨⑨ | | ②②
③(
⑨⑨ | | | | | | | | | | Last Name | | | | | | | | | | | | | | First Name | | | | | | | | | | MI | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | AA
A
A
A
BB
CC( | | | | | | | | | | | | | | A | | | | | | | | | | | | Birth Date | | | | | --- | --- | --- | --- | | | | | Year | | | | | | | | | | ②②
③③
⑤⑤
⑥⑥ | | Student
Grade
Level | | --- | | K
①
②
③
④
⑤
⑥
⑦
⑧ | | Test Level | | --- | Authors:Roger Farr,Ed.D.;Michael D.Beck;Kimberly Munroe,M.Ed. ISBN 0-7578-9151-9 Copyright ◎2005 HarcourtAchieve Inc.All ights reserved.No part of the material protected by this copyright may be reproduced or utilizedin any form or by any means,in whole or in part,without permision in writing from the copyright owner.Requests for permission should bemailed to:Copyright Permission,Harcourt Achieve,P.O.Box 26015.Austin,TX78755 Rigby and Steck-Vaughn are trademarks of Harcourt Achieve Inc.registered in the United States of America and/or other jurisdictions. Rigby READS,Reading Evaluation and Diagnostic System,is a trademark of Harcourt Achieve Inc. Printed in the United States of America. 060708 M735061681098765432 44580 | Sample A | | | | | | --- | --- | --- | --- | --- | | T | I | T | F | | | | O | | O | | | Sample B | | | | | | --- | --- | --- | --- | --- | | pej | pej | paj | pei | pep | | | | | | | ① CGD P ○2NM NW3SQRSG4KRLTO I Bq8aeaXk V44580 11ygqyO12 j nhmna○13dofhofdofboffod14CaycagCaycat15 cad BOOM BOOM BOON DOOM DOON16TUPTUDTUPBUTDUT17swimswimsmimsniwsmiw3 18DIPBIDDIPELRIGELDIDEL19PODELDODET20WUSwaSSUWWUSmas21GUTACUITAGUITAGULTACUIIA22 COWBOY GOWBOY CONDOY COMBOY COWBOY23dirtdirtdibtdirldlrl24lattidtallitlattittallidlattid44580 Sample A Auditory Discrimination Sample B 8 44580 Sample C 13 Sample D 19 21 20 Stop 44580

FAQs

What writing tool is required to complete the test?

Use a No. 2 pencil only. Do NOT use ink or ballpoint pens.

How should answers be marked on the test?

Make heavy black marks that fill the circle completely. Erase cleanly if you wish to change an answer and make no stray marks.

Which student details are requested on the form?

The form requests student name, grade, test date, birth date, student grade level, and test level.

Sep 29, 2026

Upload by Melati