Educational Services Center | Office of Learning Services

March 23, 2017

All juniors across the state are scheduled to participate in the SAT assessment on April 11, 2017. Prior to taking the SAT, students will be asked to complete a voluntary Student Data Questionnaire that will collect information about their grades, interests, intended major and college plans, among other things. Students are not required to answer this questionnaire, but those that fill it out will have the opportunity to opt in to the College Board’s Student Search Service. This service allows participating colleges and nonprofit scholarship organizations to better find specific student groups to share information about the opportunities their organizations provide. The College Board will only share data with eligible colleges, universities, and scholarship & educational opportunity programs that have signed a license agreement, and consistently monitors their use of student information for compliance. Student scores are not shared through the Student Search Service, and students may cancel their participation in this service at any time.

A copy of the Student Data Questionnaire has been included to give parents an opportunity to review and discuss the questionnaire with their child prior to the April 11th test date. Students and families have complete discretion regarding any voluntary information they provide. Completion of the Student Data Questionnaire and participation in Student Search Service are optional and voluntary for all students. Information on the College Board Privacy Policy can be found at collegboard.org/privacy-policy.

If you have any questions or concerns regarding the Student Data Questionnaire, please contact your school counseling department for further assistance.

Patti Turner Patti Turner Director of Learning Services 303/347-3437 pturner@lps.k12.co.us

5776 South Crocker Street Littleton, CO 80120-2094

303.347.3300 www.littletonpublicschools.net

lollegeBoard SAT*

School DayStudent Data Consent FormThe Colorado Department of Education is offering all 11th grade students attending public schools inColorado the opportunity to participate in the SAT® exam.The SAT is aligned to the Colorado AcademicStandards and measures the skills and knowledge that are essential for college and career readiness.

The College Board, the provider of the SAT, gives students and families complete discretion regarding anyvoluntary information they provide. Either before or after testing, you will have the opportunity to completethe Student Data Questionnaire (SDQ).The SDQ consists of basic information about you (name, registrationnumber, school, state student ID, sex, and date of birth) that is required to match your questionnaire to yourSAT registration, along with optional questions regarding yourself and your interests. Information gatheredfrom the optional questions will be used for a variety of purposes, including analysis to ensure that theexams are fair for all groups, for group reporting, to connect you with potential colleges or scholarshipopportunities, and for research.

One of the primary benefits of completing the Questionnaire is to opt into Student Search Service®, whichhelps connect you to college and scholarship opportunities that align to your interests. If you choose tocomplete the survey, a minimum number of fields are required.The data you provide will be added to yourCollege Board student record, even if you choose to not participate in Student Search Service. Additionalinformation about each field can be found in the Registration and Questionnaire Booklet distributed by yourschool and located at collegeboard.org/colorado.Your responses will:

• Give your counselors and college admission officers information to use in assisting you with makingplans for the future.The more information you provide, the more assistance they may be able to give you.

Provide information to the College Board that helps to ensure that the SAT is a fair and accurate test forall students.

• Be used by the College Board for research and planning to improve our tests and services.

• When combined with those of all other students taking the SAT, contribute to an understanding of yourgraduating class, which can assist colleges and universities in delivering programs and opportunities toserve you and your classmates.

The College Board will only share data with eligible colleges, universities, and scholarship and educationalopportunity programs that have signed a license agreement and consistently monitors their use of studentinformation for compliance. Student scores are not shared through Student Search Service.You maycancel your participation in Student Search Service at any time.To be clear, completion of the StudentData Questionnaire and participation in Student Search Service are optional and voluntary for all students.Additional information may be found in the College Board Privacy Policy at collegeboard.org/privacy-policy.

To assist you in making your decision, you will receive the SAT Student Data Questionnaire SupplementalInstructions for Students which contains information about the specific questions asked in the SDQ and howthe information you provide will be used. Please review this information and indicate below whether or notyou will complete the Student Data Questionnaire. Return the completed and signed letter to your school.Your teacher will assist in identifying the optional questions when completing the SDQ, and you will receivea copy of the SAT Student Data Questionnaire Supplemental Instructions for Students again when youcomplete the SDQ.

D Yes. I have reviewed the information provided in this letter and the SAT Student Data QuestionnaireSupplemental Instructions for Students and plan to complete the Student Data Questionnaire.

D No. I have reviewed the information provided in this letter and the SAT Student Data QuestionnaireSupplemental Instructions for Students and will not be completing the Student Data Questionnaire.

PrintYour Name

Student Signature Date.

799597 160011392

250 Vesey Street, New York, NY 10281 collegeboard.org

OcollegeBoardSAT

School DaySAT® Student Data Questionnaire Supplemental Instructions for Students

This document is to assist you in completing the SAT Student Data Questionnaire. Completing the Student DataQuestionnaire is voluntary and optional, but it is recommended that you consider doing so.To participate in thequestionnaire, you must complete the Student Data Consent Form and return it to your school along with theseinstructions, indicating that you have reviewed the supplemental instructions and agree to share your information.If you consent to completing the questionnaire, you will receive a copy of these instructions again for use whencompleting the questionnaire.

One of the primary benefits of completing the Questionnaire is to opt into Student Search Service®, which helpsconnect you to college and scholarship opportunities that align to your interests. If you choose to complete thesurvey, a minimum number of fields are required.The data you provide will be added to your College Boardstudent record even if you choose to not participate in Student Search Service. Additional information abouteach field can be found in the Registration and Questionnaire Booklet distributed by your school and is located atcollegeboard.org/colorado.Your responses will:

• Give your counselors and college admission officers information to use in assisting you with making plans forthe future.The more information you provide, the more assistance they may be able to give you.

• Provide information to the College Board that helps to ensure that the SAT is a fair and accurate test for all students.

• Be used by the College Board for research and planning to improve our tests and services.

• When combined with those of all other students taking the SAT, contribute to an understanding of yourgraduating class, which can assist colleges and universities in delivering programs and opportunities to serveyou and your classmates.

Block Question(s)Required?(if choosing to complete Instructionsthe questionnaire)

1 Name

2 Registration Number

3 Sex

4 Date of Birth

College BoardHigh School Code

SAT School Day TestInformation

7 Student ID Number

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Using your legal name, enter your first and last name.

Mailing Address Yes

Email Address No

10 Mobile Number No

This number can be found on the admission ticket your teacher orcounselor will provide.

This information is used to help match your questionnaire to your SATregistration.

This information is used to help match your questionnaire to your SATregistration.

This code will be provided by your teacher or counselor. It is a CollegeBoard identifier representing your high school.

Choose April 2017. This data is used to help match your questionnaireto your SAT registration.

This code will be provided by your teacher or counselor and is yourstate assigned student identification number.

Mailing address is only required if you also opt in to the StudentSearch Service. See Block 11. If you provide an address, the CollegeBoard may contact you regarding this test, and your address willbe added to your Student Search Service record so that scholarshipprograms, colleges, and universities can mail information to youregarding financial aid, scholarships, and campus life.

This field is optional. If you provide your email address, you aregranting the College Board permission to contact you via email withreminders about SAT test dates registration deadlines, test-preparationstrategies, and score availability. In addition, your email address willbe added to your Student Search Service record if you opted into thisservice. If you supply a parent or guardian's email, it will only be usedby the College Board to provide updates on test programs.

Leave this question blank.This information may be particularlysensitive. If you would like to provide this information to the CollegeBoard, we suggest you do that through collegeboard.org/MySATafter testing. If you provide your mobile number, you agree to receivetext messages from the College Board about a test program for whichyou are registered, to participate in research surveys, and/or to receivefree college planning services.

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LegeBoardSAT

School Day

®

Block Question(s)Required?(if choosing to completethe questionnaire)

Instructions

11 Student Search Services No

1-27 regarding12 coursework, interests, and No

activities

12 28-Racial/Ethnic Group No

12 29-Language

12 30-Citizenship

No

No

12 31 - Religious Preference No

12 32-Self Ratings No

_ 33-Parent's/Guardian's ..Highest Level of Education

12 34-Family Income No

12 35 - Military Relation No

13 Statement and Signature Yes

Answering "yes" to this question enrolls you in the College Board'sStudent Search Service. Participation in Student Search Service isoptional and voluntary and can be canceled at any time. If you opt in,your contact information will be sent to scholarship programs, colleges,and universities so they can send you information regarding financialaid, scholarships, and about campus life. If you chose to participate inStudent Search Service when you took the PSAT 10™, you can leavethis blank unless you want to change your status.

If you provide this information and also opt in to Student SearchService, it will be used to better match you to potential colleges andscholarships.

The College Board wants its tests and services to be fair and useful toall candidates, regardless of their culture or background. Answeringhelps to evaluate individual test questions for fairness and improveenrollment services. Ethnicity will be shared with scholarshipprograms, colleges, and universities if you have opted into StudentSearch Service. Additionally, your responses to these questions will beincluded as part of your score reports to colleges you elect to send yourscores to, your high school, school district, and state.

If provided, this information is used to improve our tests and services.Additionally, your responses to these questions will be included as partof your score reports to colleges you elect to send your scores to, yourhigh school, school district, and state.

Leave this question blank.

Leave this question blank.This question asks for your religiousaffiliation. If you have opted into Student Search Service, thisinformation will be used to better match you to potential colleges andscholarships. Colleges are often interested in contacting prospectivestudents about their campus-based religious clubs and offerings.Thisinformation may be particularly sensitive. If you would like to providethis information to the College Board, we suggest you do that throughcollegeboard.org/MySAT after testing.

If you provide this information, it will be used to better match you topotential colleges and scholarships.

Leave this question blank. If you provide this information, it will beused for group reporting and for research. If you would like to providethis information to the College Board, we suggest you do that throughcollegeboard.org/MySAT after testing.

Leave this question blank. If you provide this information, it will beused to better match you to potential colleges and scholarships basedon income ranges. However, your family income is not shared withcolleges, scholarship providers, or anyone else. If you would like toprovide this information to the College Board, we suggest you do thatthrough collegeboard.org/MySAT after testing.

Leave this question blank. If you provide this information, it will beused to better match you to potential colleges and scholarships. Ifyou would like to provide this information to the College Board, wesuggest you do that through collegeboard.org/MySAT after testing.

Your statement and signature demonstrate that you are the personproviding the information and agree to the conditions provided in theRegistration and Questionnaire Booklet and other SAT School Daymaterials provided by your school.

Additional information may be found in the College Board Privacy Policy at collegeboard.org/privacy-policy.

© 2017 The College Board. College Board, Advanced Placement Program, AP, Student Search Service, SAT, and the acornlogo are registered trademarks of the College Board. PSAT is a trademark owned by the College Board. All non-CollegeBoard trademarks are the property of their respective owners. PSAT/NMSQT is a registered trademark of the CollegeBoard and National Merit Scholarship Corporation. 160011129