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Psat Form: Student ID Number Test ID

This document is a sample PSAT exam form designed by Academy Technologies to be used with their BubbleScan optical mark recognition and web-based software. The form contains instructions for students to fill in identifying information and provides three sections of multiple choice questions to be answered by filling in bubbles on the form.

Uploaded by

george
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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103 views2 pages

Psat Form: Student ID Number Test ID

This document is a sample PSAT exam form designed by Academy Technologies to be used with their BubbleScan optical mark recognition and web-based software. The form contains instructions for students to fill in identifying information and provides three sections of multiple choice questions to be answered by filling in bubbles on the form.

Uploaded by

george
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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This form is NOT an official PSAT form.

It is designed by Academy Technologies for


Test ID Student ID Number
PSAT FORM Page 1 use with BubbleScan OMR/Web. PSAT is a registered trademark of the College
Entrance Examination Board. BubbleScan is a trademark of Academy Technologies.
Form ID: newPSAT001 BW v1.0

Name: ________________________________ 0 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1
Date: ________________________________ 2 2 2 2 2 2 2 2
3 3 3 3 3 3 3 3
Exam: ________________________________
4 4 4 4 4 4 4 4
Instructor: _____________________________ 5 5 5 5 5 5 5 5
6 6 6 6 6 6 6 6
INSTRUCTIONS: Example: A B C 7 7 7 7 7 7 7 7
#2 pencil - fill circles completely - dark marks - erase completely 8 8 8 8 8 8 8 8
9 9 9 9 9 9 9 9

SECTION 1
1 A B C D 14 A B C D 27 A B C D 40 A B C D
2 A B C D 15 A B C D 28 A B C D 41 A B C D
3 A B C D 16 A B C D 29 A B C D 42 A B C D
4 A B C D 17 A B C D 30 A B C D 43 A B C D
5 A B C D 18 A B C D 31 A B C D 44 A B C D
6 A B C D 19 A B C D 32 A B C D 45 A B C D
7 A B C D 20 A B C D 33 A B C D 46 A B C D
8 A B C D 21 A B C D 34 A B C D 47 A B C D
9 A B C D 22 A B C D 35 A B C D
10 A B C D 23 A B C D 36 A B C D
11 A B C D 24 A B C D 37 A B C D
12 A B C D 25 A B C D 38 A B C D
13 A B C D 26 A B C D 39 A B C D

SECTION 2
1 A B C D 12 A B C D 23 A B C D 34 A B C D
2 A B C D 13 A B C D 24 A B C D 35 A B C D
3 A B C D 14 A B C D 25 A B C D 36 A B C D
4 A B C D 15 A B C D 26 A B C D 37 A B C D
5 A B C D 16 A B C D 27 A B C D 38 A B C D
6 A B C D 17 A B C D 28 A B C D 39 A B C D
7 A B C D 18 A B C D 29 A B C D 40 A B C D
8 A B C D 19 A B C D 30 A B C D 41 A B C D
9 A B C D 20 A B C D 31 A B C D 42 A B C D
10 A B C D 21 A B C D 32 A B C D 43 A B C D
11 A B C D 22 A B C D 33 A B C D 44 A B C D

SECTION 3
1 A B C D 5 A B C D 9 A B C D 13 A B C D
2 A B C D 6 A B C D 10 A B C D
3 A B C D 7 A B C D 11 A B C D
4 A B C D 8 A B C D 12 A B C D

14 15 16 17
/ / / / / / / /
. . . . . . . . . . . . . . . .
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
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
4 4 4 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
6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
8 8 8 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 9 9 9
This form is NOT an official PSAT form. It is designed by Academy Technologies for
Student ID Number
PSAT FORM Page 2 use with BubbleScan OMR/Web. PSAT is a registered trademark of the College
Entrance Examination Board. BubbleScan is a trademark of Academy Technologies.
Form ID: newPSAT002 BW v1.0

Name: ________________________________ 0 0 0 0 0 0
1 1 1 1 1 1
Date: ________________________________ 2 2 2 2 2 2
3 3 3 3 3 3
Exam: ________________________________
4 4 4 4 4 4
Instructor: _____________________________ 5 5 5 5 5 5
6 6 6 6 6 6
INSTRUCTIONS: Example: A B C 7 7 7 7 7 7
#2 pencil - fill circles completely - dark marks - erase completely 8 8 8 8 8 8
9 9 9 9 9 9

SECTION 4
1 A B C D 9 A B C D 17 A B C D 25 A B C D
2 A B C D 10 A B C D 18 A B C D 26 A B C D
3 A B C D 11 A B C D 19 A B C D 27 A B C D
4 A B C D 12 A B C D 20 A B C D
5 A B C D 13 A B C D 21 A B C D
6 A B C D 14 A B C D 22 A B C D
7 A B C D 15 A B C D 23 A B C D
8 A B C D 16 A B C D 24 A B C D

28 29 30 31
/ / / / / / / /
. . . . . . . . . . . . . . . .
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
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
4 4 4 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
6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
8 8 8 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 9 9 9

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