School Record of Examinations Requested: June 2009

This form may be photocopied by the school and used in any of several ways:

· As a worksheet for preparing your school’s online request submission to the Department

· For circulation to department chairpersons, special education coordinators, and other school officials for reporting their examination needs to your school’s central office on a subject-by-subject basis

· For distribution to other principals in your district when your school is requesting quantities of test booklets for use in other schools

· Be sure to retain in your files the final version of this form — the one representing the completed online request actually submitted to the Department. You will need to use that version for checking your confirmation notice, which will be sent to you via e-mail within several days of the submission of your online request to the Department.

School Name

Date

REGENTS EXAMINATIONS

SUBJECT	Regular	Large Type	Braille
Comp. English
Comp. French			*
Comp. German	*	*	*
Comp. Hebrew	*	*
Comp. Italian
Comp. Latin
Comp. Spanish
Living Environment
Physical Setting/ Chemistry
Physical Setting/ Earth Science
Physical Setting/ Physics
Integrated Algebra
Geometry
Mathematics B
Global History & Geography
U.S. History & Government

TRANSLATIONS OF REGENTS EXAMINATIONS

TRANSLATIONS	Chinese	Haitian Creole	Korean	Russian	Spanish
Integrated Algebra
Global History & Geography
U.S. History & Government
Living Environment
Physical Setting/ Earth Science

REGENTS COMPETENCY TESTS

SUBJECT	Regular	Large Type	Braille
Mathematics *	*	*	*
Science *	*	*	*
Reading
Writing
Global Studies *	*	*	*
US Hist. & Govt. *	*	*	*

* Available in Restricted Form only. Each copy of a restricted test is numbered and sealed in its own envelope and must be returned, whether used or unused, to the Department at the end of the examination period.

Building principals are responsible for returning all restricted examination materials shipped to their school.

Request only the exact number of restricted booklets required. Do not request sample copies or extra copies.

SECOND LANGUAGE
PROFICIENCY EXAMINATIONS

SUBJECT	Regular	Large Type	Braille
French
German
Italian
Latin
Spanish

REGENTS DIPLOMAS

Number Required