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AZELLA Test Security and Ethics Incident Report

AZELLA Test Security and Ethics Incident Report

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This AZELLA Test Security and Ethics Incident Report is used to report AZELLA test security and ethics violations for Grades K-12 AZELLA Placement Tests, the annual Spring Reassessment Test, and the 2021 Stand-Alone Field Test. All AZELLA test security and ethics violations must be reported to the Arizona Department of Education's AZELLA Team within 24 hours of the incident. This report is a secure online form.

Date *

Month

Day

Year

Person Submitting Form

Name of Person Submitting Form (if other than DTC)

First Name *

Last Name *

Job Title *

Email *

District or Charter Holder and Entity ID

District/Charter District Name *

Enter the correct and full District/Charter District name.

Entity Number *

Do not use the district/charter's CTDS number. It must be the Entity number. District/Charter Entity Number 9 max characters

School Name *

Enter the correct and full School name.

School Entity Number *

Do not use the school's CTDS number. It must be the school Entity number. School Entity Number 9 max characters

Which AZELLA Test administration? *

2020-2021 AZELLA Placement Test

Spring 2021 Reassessment Test

2021 AZELLA Stand-Alone Field Test

AZELLA District Test Coordinator (DTC)

First Name *

Last Name *

AZELLA School Test Coordinator

First Name *

Last Name *

AZELLA Test Administrator

First Name *

Last Name *

Names of other adults involved in this violation

Enter the first and last names of adults other than the District and School Test Coordinator and the Test Administrator that were involved in or witnessed this incident

Were students involved in this incident? *

Yes

Student(s) SSID *

For all students involved in this report, please enter their SSIDs and Grade Levels on separate lines. SSID xxxxxxxx; Grade X

Date Incident Occured *

Month

Day

Year

Test security and ethics violation(s) *

Identify the test security and ethics violations involved in this incident. Check all that apply.

Disclosing of student demographic information and/or student IEP or 504 Plan information with any unauthorized person(s)

Sharing or exchanging User IDs and passwords with someone else for access to ADEConnect and/or PearsonAccess Next

Logging into TestNav as a student for a regular online AZELLA test

Logging into PearsonAccess Next as someone else

Allowing unauthorized personnel to be present during testing

Allowing a student to complete the test using another student’s SSID

Losing testing tickets and/or Pre-ID Labels

Using unauthorized electronic devices in the testing room

Students and/or staff using a cell phone during testing (staff may only use a cell phone during an emergency)

Not storing test materials in a locked and secure location while not in use

Not returning test materials to the STC or DTC at the end of each daily test session

Copying (in written form or electronically) any part of the test, contents of the computer-based test, and test materials

Allowing student(s) to leave or enter the testing room with testing materials including used scratch paper

Reviewing and analyzing secure test material

Disclosing and/or discussing test content and items or performance tasks

Interpreting test items or passages for students

Rewording or clarifying questions or using inflections or gestures to help students choose the correct answer

Allowing students to use unauthorized resources to find answers, including having materials on walls or additional resources such as books and worksheets that provide answers to specific test questions or assists the student with responses

Reading or signing test content to students except when scripts of the Stages 1 and 2 Test Administration Directions explicitly indicate to do so

Reviewing, discussing, and assisting a student with his or her answers, instructing or suggesting to a student to rethink his or her answers

Explicitly or implicitly encouraging students to engage in dishonest testing behavior

Allowing school or district staff to administer or assist with proctoring of the test their child is taking

Allowing parent volunteers to assist with the proctoring of a test their child is taking

Using students to supervise other students taking a test

Erasing or changing student responses or any marks on a scorable test booklet or answer document, and student responses associated with an online test

Developing scoring keys or preparing answer documents

Using testing materials for instruction before, during, or after test administration

Administering the AZELLA without signing the AZELLA Test Security Agreement and/or completing required training modules first

Not following all instructions in the Test Administration Directions including reading the directions to students exactly as scripted

Other

Detailed Description of Incident

Enter a DETAILED description of the irregularity that is being reported.

Comment (Optional)

File upload

You may attach and submit additional information as necessary. THIS IS A SECURE FILE SUBMISSION. Allowed file extensions – .pdf.,doc,.docx,.xls,.jpg,.gif,.png, or .tiff

Consent

NOTICE: This report (and any attachments) may contain PRIVILEGED OR CONFIDENTIAL information under state and federal law. This information may be used or disclosed only in accordance with law.

I Consent *

I confirm that I have submitted truthful information and documentation about an AZELLA Test irregularity to the Arizona Department of Education. I understand that the information I have provided may be shared with the District Superintendent/Charter Holder, School Principal, EL Coordinator, AZELLA District Test Coordinator, Pearson, and other ADE units as well as other State and Federal agencies as necessary.

Yes

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