Cognitive Abilities Test Registration Form 2016-17

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Ms Shawn Carey: Assistant Superintendent for Secondary Education
Sandy Robertson: Secondary GATE Coordinator
Testing Schedule 2016/2017
To register to take the Cognitive Abilities Test please follow these procedures:
Test registration must be completed at least One Week prior to the test date.
There is no guarantee of space available until registration is complete.
We are limited to 20 students per testing session. Please register early.
NO WALK-INS will be admitted.
Parents must register their student(s) prior to the testing session by completing the registration form and
providing copies of the student’s last two years achievement test scores (Common Core results or other
standardized test scores) and report cards for January and June 2015 and January and June 2016 to the
Advanced Learning Program Office (ALP). Upon receipt of this information, the ALP Office will mail an
Admission Ticket to the parent/guardian. Students will be required to present their Admission Ticket along with
a photo identification at the test site on the day of testing. In case of a lost ticket, please contact the ALP Office
between the hours of 7:30 a.m. and 12:30 p.m. Please call the ALP Office if your student(s) is unable to
attend the test session.
Testing sessions are from 9:00 a.m. to approximately 11:15 a.m.
Please arrive no later than 8:45 a.m. to check in.
All tests are administered at Santa Barbara Junior High School.
Wednesday, January 26, 2017
Wednesday, February 22, 2017
Wednesday. March 8, 2017
Wednesday April 5, 2017
Wednesday, May 24, 2017
August 2017, TBA
General Information:
• The test administered is the Cognitive Abilities Test, an intellectual abilities test. It consists of three
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batteries: verbal, quantitative and non-verbal.
Students are encouraged to bring a snack for the mid-morning break.
The test results will be sent to parents and to the appropriate school approximately four weeks after
testing.
Test information and sample questions are available at www.sbunified.org/gate
Students are allowed one test session only. Re-testing is not permitted.
Please Note:
Parents and students are also required to sign the attached affidavit indicating they have not undertaken any preparation
course specifically for the purpose of improving the student’s score on this test. Such preparation invalidates the student’s
Cognitive Abilities Test and will jeopardize the student’s identification as a gifted student.
The ALP Office is located in Room 151 at Santa Barbara Junior High School, 721 East Cota Street. Parking is available
off Cota Street where Nopal crosses. You may enter the building through the left set of double doors. If you have any
questions, please feel free to contact the ALP Office at 963-7751 ext. 4061.
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Dr. Ben Drati, Assistant Superintendent for Secondary Education
Sandy Robertson, Secondary GATE Coordinator
Test Registration Form for the Cognitive Abilities Test
Name of Student____________________________Student Age________Ethnicity________
School Attending Now_______________________Birthdate__________________________
School to Attend Fall of 2017_____________________________________Grade now_____
Were you ever a GATE identified student in the Santa Barbara Unified or any other
School District ?_______________________________________________________________
Return Address
In order for the test results to be mailed to your home, please provide the following information.
Parent/Guardian______________________________________________________________
Please print
Address______________________________________________________________________
Please include apartment, if applicable
City________________________________________Zip Code_________________________
Home Phone Number_________________________email____________________________
Test Date Requested___________________________________________________________
Statement of Compliance with GATE Test Requirements
My signature and my student’s signature below indicate my understanding of the registration
process and our compliance with the requirement NOT to have taken test preparation classes. I
have read the above and give permission for my child to take the Cognitive Abilities Test and if
s/he qualifies, to participate in appropriate events/programs sponsored by the ALP Office.
Parent Signature
Date
Student Signature
Date
Revised 09/22/2016