ACT Score Replacement Request Form 2022-2023

* required field

An ACT score replacement request may be granted by ADE's Assessment Section when a Cohort 2024 student has a previous ACT test score that meets or exceeds Arizona's ACT Cut Scores for the content areas of English Language Arts (ELA) and Math. The ACT ELA score is an average of the Writing, English, and Reading scale scores. The ACT Writing section is required to be eligible for an ACT score replacement.

The ACT score replacement request is intended for highly performing students who demonstrate competency prior to the statewide test window and should be used sparingly. The score replacement allows the student to use the score obtained on a national test date rather than Arizona's statewide assessment date for accountability purposes, subject to ADE's review and approval, using the criteria outlined below.

To be comparable, the replacement test score must be obtained within the Junior / 11th grade school year.
The Writing essay must be included in the score as it is required for the high school statewide assessment.
The student must score in the highly proficient range as determined by Arizona's ACT Cut Scores, which were approved by the State Board in July 2022. The student must score 25 or higher in ELA and Math.

The deadline to submit ACT score replacement requests to ADE is March 24, 2023.

A copy of the student's ACT score report (either the student or the high school copy) must be uploaded with the request. ADE's Assessment team will confirm the report with ACT and will respond to the Achievement District Test Coordinator regarding the final decision.

Date *

Month

Day

Year

District Test Coordinator (DTC) Name

First Name *

Last Name *

Email *

Person Submitting Form

Name of Person Submitting Form

First Name *

Last Name *

Email *

District/School Information

District/Charter Name *

District Entity Number *

District/Charter Entity Number 9 max characters

School Name *

School Entity Number *

Student Information

THIS IS A SECURE REQUEST AND FILE SUBMISSION SITE

Student SSID *

Student First Name *

Student Last Name *

Student Cohort Year *

ACT Account Number / ACT ID *

Date of ACT Test *

Student must have taken the test during their Junior / 11th grade school year.

Test Site *

Enter the location where the student took the ACT test.

A copy of the ACT score report, either the student or high school copy, must be uploaded with this request form. ADE's Assessment team will confirm the report with ACT and respond regarding the final decision.

A copy of the Parent Consent form must also be uploaded with this request.

THIS IS A SECURE FILE SUBMISSION.

Allowed file extensions – .pdf, .doc, .docx, .jpg, .png, .xls, or .xlsx

File upload 1 - ACT Score Report *

File upload 2 - Parent Consent Form *

Leave this field blank