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NJ Department of Education Assessment REFUSAL FORM Spring 2024
Please use this form if you DO NOT want your child to participate in state and federally mandated testing programs. Statements of refusal will be processed on Fridays. You will receive confirmation of your submission upon completion of the form automatically and by separate email within FIVE (5) days. The NJ Department of Education Assessment Schedule for the 2023 - 2024 school year is available online at
https://www.nj.gov/education/assessment/resources/district/StatewideAssessmentsTestingSchedule202324.shtml
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Email
*
Your email
Spring 2024 Testing Program Dates
Student's LAST NAME
*
Your answer
Student's FIRST NAME
*
Your answer
Student ID #
*
This number can be found on PowerSchool as an 8-digit number (example: 300xxxxx)
Your answer
Parent/Caregiver Name
*
Please indicate name of person completing this form AND relationship to student
Your answer
Parent/Caregiver EMAIL address
*
Your answer
Student's current GRADE
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3
4
5
6
7
8
9
10
11
12
Ungraded
Student's current SCHOOL PLACEMENT
*
Choose
Community Park Elementary School
Johnson Park Elementary School
Littlebrook Elementary School
Riverside Elementary School
Princeton Middle School
Princeton High School
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