|
First Name:
|
*
|
|
|
|
Middle Name:
|
|
|
|
|
Last Name:
|
*
|
|
|
|
Home Mailing Address:
|
*
|
|
|
Home Phone:
|
Cell Phone:
|
|
|
E-Mail:
|
*
|
|
|
|
School/College Name:
|
|
|
|
School District:
|
(for K-12 public students)
Please indicate if you are a student in a Seattle Public school currently receiving English Language Learner (ELL) services.
Note: If you are qualified as an ELL (English Language Learner) student in Seattle Public Schools, you do not need to submit payment by PayPal or check or cash. The Seattle Public Schools ELL and International Education Program will pay the fee for your test directly to WAFLT. If you have questions, contact Gosia Stonemjstone@seattleschools.org.
|
|
School City:
|
|
|
|
|
Assessment Registration:
|
|
|
|
Select one language for assessment:
|
|
(You may submit a separate registration for an additional language)
|
|
|
Spanish (STAMP $30)
|
|
|
|
|
French (STAMP $30)
|
|
|
|
|
German (STAMP $30)
|
|
|
|
|
Japanese (STAMP $30)
|
|
|
|
|
Italian (STAMP $30)
|
|
|
| |
Arabic (STAMP $30)
|
|
|
|
Mandarin - Simplified Characters (STAMP $30)
|
|
|
|
Mandarin - Traditional Characters (STAMP $30)
|
|
|
Select preferred location: (If your location preference is full, we will offer you an alternate location.)
|
| |
Chief Sealth International High School, Seattle - Wednesday November 30, 2011 4:00 pm
|
|
|
Chief Sealth International High School, Seattle - Wednesday November 30, 2011 5:30 pm
|
| |
Secondary Bilingual Orientation Center, Seattle - Thursday December 1, 2011 4:00 pm |
| |
Secondary Bilingual Orientation Center, Seattle - Thursday December 1, 2011 5:30 pm
(Note: The STAMP test generally takes students about 1 1/2 to 3 hours to complete.)
|
|
Reporting Results:
|
|
|
Do you wish to receive a
copy of your test results from the STAMP assessment? (By clicking "Yes" you are
giving permission for the testing company, Avant Assessment, to share your test
results with OSPI in order for OSPI to print out and mail the STAMP report to
you.)
|
|
|
Yes
|
|
|
|
No
|
|
|
Are you a middle or high school student who would like to earn
competency-based credits?
(By clicking "Yes" you are
giving permission for the testing company, Avant Assessment, to share your
score report with OSPI so that OSPI can provide a "certificate of recognition"
and letter with high school credit recommendations to you.)
|
|
|
Yes
|
|
|
|
No
|
|
|
If Yes, please enter your Student ID and provide contact information for
a person at your school or district who should receive a copy of your STAMP
score report and a letter from OSPI indicating recommended competency-based
credits (if any).
|
|
Student ID:
|
|
|
|
Contact Name:
|
(Counselor or registrar)
|
|
School/District
|
|
|
|
School or District Mailing Address:
|
|
|
|
|
|
|
|
After filling out this form, be sure to Submit it. You have two options:
1. Submit and Pay with PayPal (with a credit card, you don't need to have a PayPal account)
2. Submit and Pay Later (by check or cash on site)
|
|
Check this box if paying by PayPal
|
|
Note: For option 2 (Submit and Pay Later), you are not guaranteed a spot. We will fill spots first with prepaid registrations. To ensure that your spot is reserved, you can print the registration confirmation email that you'll receive and mail it with a check for $30 made out to “WAFLT” to the address below
|
|
WAFLT STAMP Test
Lauren Kiolet
1329 11th Ct. SW
Olympia, WA 98502
If you are not able to send a check in advance, you may request to pay with check or cash on site, by contacting: byaden@plu.edu
If you have any questions about registration, please contact: byaden@plu.edu
Note: If you are qualified as an ELL (English Language Learner) student in Seattle Public Schools, you do not need to submit payment by PayPal or check or cash. The Seattle Public Schools ELL and International Education Program will pay the fee for your test directly to WAFLT. If you have questions, contact Gosia Stone mjstone@seattleschools.org.
|