ATTACHMENT B
FLORIDA PRE-C
E E
P
OLLEGE
NTRANCE
XAMINATION
ROGRAM
SELECTION FORM
DIRECTIONS:
Each school district should complete and return this form to the Department of Education by
Friday, July 15, to Daphne Csonka, Office of Assessment and School Performance, via email to
Daphne.Csonka@fldoe.org or fax to (850) 245-0781.
Please provide the following information:
NAME OF SCHOOL DISTRICT:
NAME OF PERSON COMPLETING FORM:
TELEPHONE NUMBER OF PERSON COMPLETING FORM:
Mark your district’s selection for the pre-college entrance examination to be administered:
PSAT (from The College Board)
PLAN (from ACT)
WHAT IS THE PROJECTED GRADE 10 ENROLLMENTS FOR FALL 2005?
This is not your actual order form, but rather a form that provides an estimate to be used
by the Department for procurement purposes. SCHOOLS WILL SEPARATELY
SUBMIT AN ORDER TO THE SELECTED TESTING ORGANIZATIONS TO
RECEIVE TEST MATERIALS.
Thank you for your assistance.