California High School Exit Examination
2008–2009 Answer Document
1
Student Name
Use only a No. 2 pencil.
Grade
School
District
Signature
2
Date
SCHOOL USE
ONLY
MI
Math
R
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
S
S
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
A
A
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
E
E
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
I
I
E
E
E
E
E
E
E
E
E
E
E
E
E
E
E
E
E
E
E
E
E
Z
Z
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
T
T
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
M
M
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
H
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
J
Jan.
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
Feb.
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
Date of Birth
Day
Year
PL
Month
E
ELA
4 Gender 5
Male
First Name
3 Score Code
When a barcode is
present in this box,
this document can be
used ONLY by the
student whose name
is printed here.
Female
Last Name
Mar.
0
0
0
0
Apr.
1
May
2
1
1
1
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
2
2
2
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
Jun.
3
19
3
3
3
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
Jul.
4
4
4
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Aug.
5
5
5
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
Sep.
6
6
6
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
Oct.
7
7
7
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
Nov.
8
8
8
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
Dec.
9
9
9
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
African American or Black
(not of Hispanic origin)
[600]
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
American Indian or Alaska Native
Asian
Chinese
Japanese
Korean
Vietnamese
Asian Indian
Laotian
Cambodian
Other Asian
Filipino
Hispanic or Latino
Pacific Islander
Native Hawaiian
Guamanian
Samoan
Tahitian
Other Pacific Islander
White (not of Hispanic origin)
Declined to state
[100]
8
Ethnicity
M
V
W
6
7
Other Ethnicities
Mark all that apply
SA
Primary Ethnicity
Mark ONLY one
Parent/Guardian Education Level
Grid the response that describes the education level of your
most educated parent/guardian with whom you live.
[201]
[202]
Graduate school/post graduate training
High school graduate
[203]
College graduate
Not a high school graduate
[204]
Some college (includes AA degree)
Declined to state or unknown
[205]
[206]
9
Local Student ID Number
10 Statewide Student Identifier
(SSID)
[207]
[299]
[400]
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
[500]
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
[301]
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
[302]
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
[303]
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
[304]
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
[399]
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
[700]
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
[999]
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
DO NOT WRITE IN THIS AREA
SERIAL #
Page 1
C
C
Information on this page must be completed only by
school or district staff who have signed the Test Security form.
COMPLETE FOR EACH STUDENT
Use only a No. 2 pencil.
County/District of Residence
Enter County and District codes for
student’s residence if residence is other
than where student attends
school/receives services.
12
Special Education
Services
a.
If this student receives special education services
under an IEP, grid the three-digit Primary Disability
code from the IEP. Mark only one.
—
A
000
H
270
B
210
I
280
0
0
0
0
0
0
0
C
220
J
290
1
1
1
1
1
1
1
D
230
K
300
2
2
2
2
2
2
2
E
240
L
310
3
3
3
3
3
3
3
F
250
M
320
4
4
4
4
4
4
4
G
260
N
330
5
5
5
5
5
5
5
6
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6
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6
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7
7
7
7
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8
8
8
8
8
9
9
9
9
9
9
9
15
Purposes for AYP
The signature below indicates that the student
has access to the accommodations and/or
modifications as specified in the student's
IEP or 504 Plan.
IEP
This student receives special education services at a
Nonpublic Nonsectarian (NPS) school.
(Enter code in box c.)
c.
Complete only if this
student was found to be
no longer eligible to
receive special education
services within the last
two school years.
If yes in “b” above, grid the 7-digit NPS school code.
Day
Section 504 Plan
b.
Mark all Accommodation(s) and/or
Modification(s) used during the administration
by this student.
See codes listed in the Directions for
Administration manual.
ELA
Math
A
A
B
B
C
C
0
0
0
0
0
0
0
D
D
1
1
1
1
1
1
1
E
E
2
2
2
2
2
2
2
F
F
3
3
3
3
3
3
3
G
G
4
4
4
4
4
4
4
H
H
5
5
5
5
5
5
5
I
I
6
6
6
6
6
6
6
J
J
K
Year
0
0
0
0
0
0
7
7
7
7
7
7
7
K
1
1
1
1
1
1
8
8
8
8
8
8
8
L
L
2
2
2
2
2
9
9
9
9
9
9
9
M
M
3
3
SA
Note: The CAPA will not
satisfy the CAHSEE
requirement for purposes
of obtaining a high school
diploma.
a.
Yes
Special
Education
Exit Date
Month
Complete only for a student who used
accommodations or modifications in attempting
the exam.
Signature of Test Site Coordinator
b.
M
Student assessed with
CAPA (A valid disability
code, other than 000,
must also be gridded in
the “Special Education
Services” area.)
Accommodations and
Modifications
PL
14 Participation
13
E
11
3
3
3
N
N
4
4
4
4
O
O
5
5
5
5
P
P
6
6
6
6
Q
Q
7
7
7
7
R
R
8
8
8
8
S
S
9
9
9
9
T
T
U
U
V
V
W
W
X
X
99 For CDE Use Only
A
1
B
2
C
3
D
4
Page 2
C
C
ENGLISH-LANGUAGE ARTS — SESSION 1
Use only a No. 2 pencil.
Version
Number
Test Book
Serial Number
0
0
0
0
0
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0
1
1
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1.
2.
3.
4.
5.
A
B
C
D
B
C
D
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
6.
7.
8.
9.
10.
A
A
A
B
C
D
R1
R2
RT
CS
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
16.
17.
18.
19.
20.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
21.
A
B
C
D
PL
11.
12.
13.
14.
15.
ETS USE
ONLY
E
0
WRITING TASK
SA
M
Use only a No. 2 pencil to write your response.
PLEASE CONTINUE➔
DO NOT WRITE IN THIS AREA
SERIAL #
Page 3
C
C
ENGLISH-LANGUAGE ARTS — SESSION 1
SA
M
PL
E
Continue writing your response for the Writing Task.
Page 4
C
C
ENGLISH-LANGUAGE ARTS — SESSION 1
SA
M
PL
E
Continue writing your response for the Writing Task.
End of
Writing Task
DO NOT WRITE IN THIS AREA
SERIAL #
Page 5
C
C
ENGLISH-LANGUAGE ARTS — SESSION 2
Use only a No. 2 pencil.
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
A
B
C
A
B
C
A
B
C
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
D
D
D
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
Questionnaire
A
B
C
D
E
F
A
B
C
D
E
F
A
B
C
A
B
C
D
E
F
A
B
C
D
E
A
B
C
D
E
F
A
B
C
A
B
C
D
E
F
A
B
C
A
B
C
A
B
C
A
B
C
D
A
B
C
D
E
F
A
B
C
D
E
F
A
B
C
A
B
C
D
E
F
SA
M
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
E
A
PL
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
ETS USE
ONLY
R2
Arts
2 End of English-Language
2
Session 2
Page 6
C
C
SA
M
PL
E
This page is for scratch work. It will NOT be scored.
Page 7
C
C
SA
M
PL
E
This page is for scratch work. It will NOT be scored.
DO NOT WRITE IN THIS AREA
Page 8
SERIAL #
C
C
MATHEMATICS
Use only a No. 2 pencil.
Version
Number
Test Book
Serial Number
Mathematics Classes Taken
Grid the most recent grade in which you have taken or
are taking each of the math classes listed below.
If you haven’t taken the class, leave it blank.
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
General Math
3
3
3
3
3
3
3
3
3
3
3
3
3
Pre-Algebra
4
4
4
4
4
4
4
4
4
4
4
4
4
Algebra 1
5
5
5
5
5
5
5
5
5
5
5
5
5
Geometry
6
6
6
6
6
6
6
6
6
6
6
6
6
Algebra 2
7
7
7
7
7
7
7
7
7
7
7
7
7
Integrated Mathematics Course I
8
8
8
8
8
8
8
8
8
8
8
8
8
9
9
9
9
9
9
9
9
9
9
9
9
9
8
9 10 11 12
E
7
Integrated Mathematics Course II
Integrated Mathematics Course III
PL
Advanced Mathematics Courses
MATHEMATICS — SESSION 1
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
M
A
SA
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
1
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
ETS USE
ONLY
End of Mathematics
Session 1
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
R1
R2
41.
42.
43.
44.
45.
46.
RT
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
CS
1
Page 9
C
C
MATHEMATICS
Use only a No. 2 pencil.
MATHEMATICS — SESSION 2
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
A
B
C
A
B
C
A
B
C
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
87.
88.
89.
90.
91.
92.
D
D
D
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
Questionnaire
A
B
C
D
E
F
A
B
C
D
E
F
A
B
C
A
B
C
D
E
F
A
B
C
D
E
A
B
C
D
E
F
A
B
C
A
B
C
D
E
F
A
B
C
A
B
C
A
B
C
A
B
C
D
A
B
C
D
E
F
A
B
C
D
E
F
A
B
C
A
B
C
D
E
F
SA
M
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
2
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
A
B
C
D
E
A
PL
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
End of Mathematics
Session 2
ETS USE
ONLY
R2
2
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SERIAL #
C
C
SA
M
PL
E
This page is for scratch work. It will NOT be scored.
Page 11
C
C
Information on this page must be completed only by
school or district staff who have signed the Test Security form.
COMPLETE FOR EACH STUDENT
Use only a No. 2 pencil.
16
17
CBEDS Enrollment
This student was counted in the last October CBEDS
data collection and has been continuously enrolled
since that date.
18
English Proficiency
English Learner Test Variations
Complete only for English Learners (EL) who
used testing variations that are regularly used in
the classroom or for assessment.
English Only (EO)
Initially Fluent English Proficient (I-FEP)
English Learner (EL)
School
Yes
No
District
Yes
No
Reclassified Fluent English Proficient (R-FEP)
After the student was reclassified to RFEP, did the
student score proficient or above for any three years
on the ELA CST?
Yes
19
Mark the EL Test Variation(s) used during the
administration. See codes listed in
Directions for Administration.
No
ASAM Schools Only
22
20 NSLP
For an English Learner,
enter the date first enrolled
in school in the United
States or its territories.
21 Primary Language
2-digits
0
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
MONTH
DAY
26
ETS Use Only
RFEP
C
D
D
YEAR MONTH
DAY
YEAR
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
24
3
3
3
3
3
3
3
3
4
4
4
4
4
4
Grid all the specially funded programs in which the student
participated during this school year.
5
5
5
5
5
5
Migrant Education
6
6
6
6
6
6
American Indian Education
7
7
7
7
7
7
Gifted and Talented
8
8
8
8
8
8
8
8
EL in ELD
9
9
9
9
9
9
9
9
EL in ELD and SDAIE
SA
25
B
C
For RFEP student, enter
the date in which
reclassified.
0
M
No
0
A
B
PL
Yes
23
EL
Math
A
E
Student enrolled in school less than 90 school days
prior to testing.
ELA
0
0
Program Participation
EL in ELD with SDAIE and Primary Language Support
EL in ELD and Academic Subjects through Primary Language
Other EL Instructional Services
No EL program participation
27
For Local Use
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
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3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
4
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4
4
4
4
4
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
6
6
6
6
6
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6
6
6
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6
6
6
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7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
8
8
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8
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8
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8
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8
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9
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9
9
9
9
Grid
Only
One
Post-Grade 12 Student
This student has met all other graduation
requirements and is enrolled for the sole purpose
of taking the CAHSEE.
Educational Testing Service
Princeton, NJ 08541
Copyright © 2008 by the California Department of Education
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