Georgia Milestones Assessment School Inquiry Form

The Governor's Office of Student Achievement has identified schools with classrooms requiring further inquiry through the erasure analysis and the unusual gains and unusual response pattern analysis of the 2017 Georgia Milestones Test. This form is to be used for district feedback of individual schools requiring further inquiry identified in the Governor's Office of Student Achievement's findings for the 2017 Milestones EOG and 2017 Spring EOC comprehensive analysis. This form provides LEAs with schools requiring further inquiry an opportunity to explain the reasons for why specific classrooms were flagged for wrong-to-right (w-t-r) answer changes, and/or unusual patterns and gains identified by the testing vendor. The form should be filled out and submitted by district level personnel.

*Note: A separate form must be filled out for each identified school, and if a school was identfied for both the answer change and unsusual response analyses then #9A and #9B should be answered for that school.

Forms must be submitted by February 19th at 5:00 PM. Please fill out a separate form for each identified school. All answers must be entered in one session, so it is recommended that whoever enters the LEA response gather answers to all questions prior to entering information into the form.

Once received, GOSA will review it in conjunction with relevant state-level data to determine whether the inquiry can be closed or if further information is required, which may include a document/records request, full investigation, or an on-site audit. GOSA will notify the LEA Superintendent and Director of Assessments by email of closure or next steps by May 18, 2017.

Form responses are confidential. Only GOSA Academic Auditing and GaDOE Assessment Division will view submissions.

LEA Number: (required)

LEA Name: (required)

School Number: (required)

School Name: (required)

LEA Director of Assessments Name: (required)

LEA Director of Assessments Phone Number: (required)

LEA Director of Assessments Email: (required)

School Principal Name: (required)

School Testing Coordinator Name: (required)

1. During the 2017 test administration, did the school have a test security plan in place? Discuss, in detail, how the plan was followed with fidelity. (required)

2. Please attach a copy of the test security plan. (required)

(Please upload PDF or Microsoft Word.)
One file only.
256 MB limit.
Allowed types: pdf, doc, docx.

3. Describe the 2017 test administration training at the school. Was differentiated training provided for the different test formats (paper and pencil, online, small group, accommodations, etc.)? (required)

4. How was the test administered for each subject and grade level (paper and pencil, online, or combination of both)? (required)

5. Did teachers administer tests to students in their current classrooms? Describe how proctors were used during test administration. (required)

6. Describe how tests were distributed and collected at the school daily (central location, by cart, etc.)? (required)

7. Describe any irregularities that occurred during testing. (required)

8. Describe the location where secure test materials were stored. List, by name and title, the individuals with access to secure test materials. (required)

9. (Answer 9A if your school was identified for further inquiry by the answer change analysis. Answer 9B if your school was identified for further inquiry by the unusual pattern response analysis.) Answer N/A if question does not apply:

9A. Why did the identified classrooms' answer change data vary significantly from the State norm? Discuss what the district learned about the test administration in the school's identified classrooms. (required)

Answer if the school was identified for further inquiry by the answer change analysis. Answer N/A if school was not identified by the answer change analysis.

9B. Why did the identified student testing groups show significant test score gains and unusual patterns of response on the Georgia Milestones EOG test? Identify and discuss any policies and programs in place that may have contributed to this outcome. (required)

Answer if the school was identified for further inquiry by the unusual pattern response analysis. Answer N/A if school was not identified by the unusual pattern response analysis.

10. Describe test policies implemented during the 2017 test administration at the flagged school. What new policies, if any, will be implemented as a result of this inquiry? (required)

11. I certify to the best of my knowledge that I am authorized to submit this form on behalf of my LEA and that the information provided is accurate. (required)

Name of person submitting form to serve as digital signature

Title: (required)

Georgia Milestones Assessment School Inquiry Form

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