Security Affidavit for Non-TOMS Users (CAASPP/ELPAC)

Security Affidavit for Non-TOMS Users

This form is only for individuals who will be around testing materials but are not a testing system user. This includes Instructional Assistants, Para-educators, student teachers, etc. 𝘛𝘩𝘪𝘴 𝘥𝘰𝘦𝘴 𝘯𝘰𝘵 𝘪𝘯𝘤𝘭𝘶𝘥𝘦 𝘢𝘯𝘺𝘰𝘯𝘦 𝘸𝘪𝘵𝘩 𝘛𝘖𝘔𝘚/𝘛𝘈 𝘐𝘯𝘵𝘦𝘳𝘧𝘢𝘤𝘦 𝘢𝘤𝘤𝘦𝘴𝘴 𝘴𝘶𝘤𝘩 𝘢𝘴 𝘈𝘥𝘮𝘪𝘯 (𝘗𝘳𝘪𝘯𝘤𝘪𝘱𝘢𝘭𝘴, 𝘦𝘵𝘤) 𝘰𝘳 𝘛𝘦𝘴𝘵 𝘈𝘥𝘮𝘪𝘯𝘪𝘴𝘵𝘳𝘢𝘵𝘰𝘳𝘴/𝘌𝘹𝘢𝘮𝘪𝘯𝘦𝘳𝘴 (𝘛𝘦𝘢𝘤𝘩𝘦𝘳𝘴).
Name

First NameLast Name
Email
name.your@tusd.org
Title/Role
eg: Administrative Assistant, Para-Educator, etc.
Your Admin's email
Enter the email address for your site administrator or student's proctor. They will receive a copy.
Site(s)

Other
Which of the following describes your role associated with the CAASPP/ELPAC this school year?

Other

I acknowledge that I will have access to one or more of the California Assessment of Student Performance and Progress (CAASPP), California Alternate Assessment (CAA), English Language Proficiency Assessments for California (ELPAC) and Alternate ELPAC, initial and summative assessments, pursuant to Education Code section 60810, for the purpose of administering the test(s) to eligible pupils. I understand that these materials are highly secure and may be under copyright restrictions, and it is my responsibility to protect their security as follows:

Rows	Agree
(1) I will not divulge the contents of the test materials to any other person through verbal, written, or any other means of communication. This includes, but is not limited to, sharing or posting test content via the Internet or by email without the express prior written permission of the California Department of Education (CDE) and test contractor.
(2) I will not copy or take a photo of any part of the test materials. This includes, but is not limited to, photocopying (including enlarging) and recording without the express prior written permission from the CDE and test contractor.
(3) I will keep all test materials secure prior to and following the distribution of the test(s).
(4) I will permit eligible pupils access to test materials only during testing periods. I will permit only eligible pupils who are testing, and individuals participating in the test administration who have electronically agreed to an ELPAC/CAASPP Test Security Affidavit, to be in the room when and where the ELPAC/CAASPP assessments are being administered.
(5) I will not allow any pupils to use any electronic devices that allow them to access outside information, communicate with any other pupils, or photograph or copy test content. This includes, but is not limited to, cell phones, personal digital assistants, tablets, laptops, cameras, and electronic translation devices.
(6) When acting as a test examiner, I will: (a) collect and account for all test materials following each testing session; (b) not permit any pupils to remove any test materials by any means from the room(s) where testing takes place; and (c) count all test books and answer books before allowing any pupil to leave the testing room.
(7) I will not review any test questions, passages, or other test items with any pupils or any other person at any time, including before, during, or following testing. I understand that this includes any discussion between local educational agency (LEA) staff for training or professional development, whether it be in a one-on-one or in a staff meeting setting.
(8) I will not, for any test, develop scoring keys, review any pupil responses, or prepare answer books. I understand that this includes coaching pupils or providing any other type of assistance to any pupils that may affect their responses. This includes, but is not limited to, both verbal cues and nonverbal cues that may indicate correct or incorrect answers, or completing or changing any pupils' answers.
(9) I will return all test materials to the designated site ELPAC/CAASPP coordinator in accordance with his or her instructions.
(10) When acting as a test examiner or proctor, I will actively supervise all pupils throughout the testing session to ensure that they are working on the correct test section or part, marking their answers in the correct section of their answer books, following instructions, and are accessing only authorized materials (embedded and non-embedded universal tools, designated supports, or accommodations) for the test being administered.
(11) I will administer the ELPAC/CAASPP in accordance with the directions for test administration and test administration manuals prepared by the test contractor, or any additional guidance provided by the test contractor. I understand that the unauthorized copying, sharing, or reusing of any test book (test books may be appropriately reused in accordance with the test contractor's terms and conditions), test question, or answer book by any means is prohibited. This includes, but is not limited to, photocopying, recording, emailing, messaging (instant, text, or multimedia messaging service, or digital application), using a camera/camera phone, and/or sharing or posting test content via the Internet without the express prior written permission from the CDE and test contractor.
(12) I have been trained to carry out my responsibilities in the administration of the ELPAC/CAASPP.

Through my electronic agreement on this document, I assure that I have completely read this affidavit and will abide by the above requirements and have received all training necessary for duties I will be performing during the administration of the CAASPPP (ELA/Math/Science|CAA ELA/Math/Science) or ELPAC/Alternate ELPAC (Initial/Summative).
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDateHourMinutesAM/PM Option
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