1. ATTACHMENT B Florida Pre-College Entrance Examination Program SELECTION FORM
      1. District Name District
      2. Number School Name
      3. School Number
      4. CEEB Code
      5. 2006 Grade 10
      6. Projected Enrollment
      7. Estimated Number of Students
      8. participating in PSAT or PLAN
ATTACHMENT B
Florida Pre-College Entrance Examination Program
SELECTION FORM
DIRECTIONS:
Please indicate your district's choice for the pre-college entrance examination. You may select either the PSAT (The College Board) or PLAN (ACT).
Each school district should complete and return this form to the Department of Education by June 30, 2006 to Kira Sullivan, Office of Assessment
and School Performance, via email to Kira.Sullivan@fldoe.org, or fax to (850) 245-0784.
DISTRICT:
CONTACT PERSON:
TELEPHONE NUMBER / EMAIL ADDRESS:
PSAT (The College Board)
PLAN (ACT)
Mark your district’s selection for the pre-college entrance examination to be administered:
PLEASE FILL OUT THE FORM BELOW IN ORDER TO PROJECT PARTICIPATION IN THE CHOSEN PRE-COLLEGE ENTERANCE EXAMINATION.
District Name
District
Number
School Name
School
Number
CEEB Code
2006
Grade 10
Projected
Enrollment
Estimated
Number of
Students
participating in
PSAT or PLAN
*Please add rows to adjust for number of schools
PLEASE NOTE: This is not the actual order form, but rather a form that provides an estimate to be used by the Department for procurement
purposes. EACH SCHOOL WILL SUBMIT AN ORDER TO THE SELECTED CONTRACTOR TO RECEIVE TEST MATERIALS.

Back to top