Beruflich Dokumente
Kultur Dokumente
PAGE 2
BOOKLET NUMBER
FORM
66E
65A
62E
66F
65B
62F
56C
NAME:
__________________________________________________
1
66G
65C
63A
56E
Print your
2
67A
65D
63B
58A
3-character
3
90Z
65E
63C
59A
DATE:
__________________
Test Form in
4
91Z
65F
63D
60A
the boxes
5
93Z
66A
63E
60D
above
and
FORM
CODE: ______________
6
94Z
66B
63F
62A
fill in the
7
95Z
66C
64B
62C
corresponding
8
96Z
66D
64E
62D
oval at the
53B
0359F
1
2
3
Correct mark:
1
2
1
2
1
2
1
2
3
4
3
4
5
6
5
6
7
5
6
5
6
7
8
5
6
7
9
0
9
0
9
0
27
28
29
30
31
32
33
34
35
36
37
38
39
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
A
B
G
B
C
H
C
D
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
21
22
23
24
25
26
27
28
29
30
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
7
8
9
0
8
9
0
9
0
right.
TEST 1
1
2
3
4
5
6
7
8
9
10
11
12
13
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
A
B
G
B
C
H
C
D
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
14
15
16
17
18
19
20
21
22
23
24
25
26
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
40
41
42
43
44
45
46
47
48
49
50
51
52
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
53
54
55
56
57
58
59
60
61
62
63
64
65
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
A
F
A
B
G
B
C
H
C
D
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
41
42
43
44
45
46
47
48
49
50
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
66
67
68
69
70
71
72
73
74
75
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
F
A
F
G
B
G
H
C
H
J
D
J
51
52
53
54
55
56
57
58
59
60
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
36
37
38
39
40
F
A
F
A
F
G
B
G
B
G
H
C
H
C
H
J
D
J
D
J
TEST 2
1
2
3
4
5
6
7
8
9
10
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
11
12
13
14
15
16
17
18
19
20
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
8
9
10
11
12
13
14
F
A
F
A
F
A
F
G
B
G
B
G
B
G
H
C
H
C
H
C
H
J
D
J
D
J
D
J
15
16
17
18
19
20
21
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
15
16
17
18
19
20
21
F
A
G
B
H
C
J
D
F
A
F
A
G
B
G
B
H
C
H
C
J
D
J
D
31
32
33
34
35
36
37
38
39
40
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
F
A
G
B
H
C
J
D
K
E
22
23
24
25
26
27
28
F
A
F
A
F
A
F
G
B
G
B
G
B
G
H
C
H
C
H
C
H
J
D
J
D
J
D
J
29
30
31
32
33
34
35
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
29
30
31
32
33
34
35
F
A
G
B
H
C
J
D
F
A
F
A
G
B
G
B
H
C
H
C
J
D
J
D
TEST 3
1
2
3
4
5
6
7
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
F
A
G
B
H
C
J
D
TEST 4
1
2
3
4
5
6
7
F
A
G
B
H
C
J
D
F
A
F
A
G
B
G
B
H
C
H
C
J
D
J
D
8
9
10
11
12
13
14
A
F
B
G
C
H
D
J
A
F
A
F
B
G
B
G
C
H
C
H
D
J
D
J
22
23
24
25
26
27
28
A
F
B
G
C
H
D
J
A
F
A
F
B
G
B
G
C
H
C
H
D
J
D
J
36
37
38
39
40
A
F
B
G
C
H
D
J
A
F
B
G
C
H
D
J
ACT STUDENT REVIEW AND SIGNATURE: The test supervisor will give you instructions for completing these sections.
EXAMINEE STATEMENT AND SIGNATURE
optional
Writing
(Read and signSCORES
your namewith
as you
would an
official document.)
English/Writing: !______!
_____ percentile
SignatureMath: ! ______!
Your
! Signature
_____ percentile
! s Date
Reading: ! ______!
Todays
Today
_____ percentile
Science: ! ______!
_____ percentile
! Composite: ! ______!
_____ percentile
No
Yes
No_____ percentile
Yes
! Yes English:
! ______!
1
2!
3
4!
5
6
Math: ! ______!
7
8
Reading: ! ______!
9
10
11
_____ percentile
12
13
_____ percentile
14
15
! Composite: ! ______!
_____ percentile
74
Science: ! ______!
_____ percentile
No