ࡱ> npm bjbj "Pjjt <^lXXXX 8 p 4/ (81. . . . . . .$0 (2-. ^  -.%XX.%%% pXR.% .%J%-"- PG y--$.0/-2"2-% XXXXGED Testing Service of The American Council on Education One Dupont Circle, NW Suite 250 Washington, DC 20036-1163 (202) 939-9490 Test Compromise Information Jurisdiction Experiencing Compromise: FORMTEXT        City:  FORMTEXT       Center ID Number:  FORMTEXT       Phone: ( FORMTEXT    ) -  FORMTEXT     -  FORMTEXT     Center Name:  FORMTEXT       E-mail:  FORMTEXT       Date of Compromise:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      Date Compromise was reported:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy mm / dd / yyyy  Was GED Examiner in testing room when compromise occured:  FORMDROPDOWN   List of Examiners and Proctors present during testing:  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        Date Chief Examiner Last Administered The GED Test:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      Description of Compromise.  FORMCHECKBOX  Check here if additional sheets are attached.  FORMTEXT        Action taken:  FORMCHECKBOX  Check here if additional sheets are attached.  FORMTEXT        Testing Volume last 12 months:  FORMTEXT       Years of GED Examiner Testing experience:  FORMTEXT     Date Examiner was last trained:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      How were you trained?  FORMCHECKBOX  Hands on  FORMCHECKBOX  Lecture mm / dd / yyyy  Who trained you?  FORMCHECKBOX  Other GED Examiner  FORMCHECKBOX  Jurisdictional Staff  FORMCHECKBOX  STARS  FORMCHECKBOX  Other If, Other, Who?  FORMTEXT        Date of Last Jurisdictional Examiners Meeting Attended:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy  Where did test compromise occur:  FORMCHECKBOX  Testing Center  FORMCHECKBOX  Addendum Site  FORMCHECKBOX  In Transit  Number of Candidates Tested this session:  FORMTEXT        Test Compromise Information - Page 2  Did Compromise Occur During Testing Session?  FORMDROPDOWN   Number of Complete Testing Sessions Conducted in the last 12 months: FORMTEXT     Description of Secure Storage: FORMTEXT        Description of temporary/transportation storage:  FORMTEXT        Was a written inventory of restricted testing materials made when tests were removed from permanent storage?  FORMDROPDOWN  If YES attach copy of written inventory  Was a written inventory of restricted testing materials made when tests were returned to permanent storage?  FORMDROPDOWN  If YES attach copy of written inventory  Were Photo IDs Checked just before candidates were allowed to enter the Testing Room?  FORMDROPDOWN   Was a seating chart used?  FORMDROPDOWN  If YES attach copy of seating chart  Was a Test Surveillance Log used during testing?  FORMDROPDOWN  If YES attach copy of the Test Surveillance Log Provide a history of test compromises at this center: (Attach additional sheets if necessary.)  FORMTEXT          Signature of Person Completing Report Title Date GEDTS Use Only GEDTS Staff Completing Report:  FORMTEXT       Report Completion Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      Final Disposition  FORMCHECKBOX  Check here if additional sheets are attached.  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