Fillable GMRT 4th Edition 2021-2022 School Year Order Form EDITABLE

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GMRT 4th Edition 2021-2022 School Year Order Form EDITABLE

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Gates-MacGinitie
Reading Tests
®
Order Form
Visit https://tinyurl.com/orderGMRT
to order GMRT
®
online through our store!
We accept purchase orders
and credit cards.
Page 1 of 7
Date
____ / ____ / ____
Test Administrator:
(Please list the primary contact who will
be the test administrator owner and DataManager Account Holder.)
Note: this person is the primary test and IT contact.
Name
Position
Phone: ( ) Fax: ( )
Email address
Data Contact
(if different from Test Administrator)
:
Note: this person typically handles barcodes and rostering needs
Name
Position
Phone: ( ) Fax: ( )
Email address
Please describe yourself:
System/District Diocese/Archdiocese
Building/School CHECK ONE: __Public School __Catholic School __Private School
Administration Mode:
Hand Scoring
Machine Scoring (scores supplied by Riverside Insights)
Pre-ID Barcode Labels
INITIAL ORDER: Check here if you wish to purchase Pre-ID Barcode Labels (customer applied)
and this is your initial order. Instructions will be sent via email to the Data Contact. Additional fees
will apply.
Cost per student: .84 for locally applied
SUBSEQUENT ORDERS: If you have previously ordered barcode labels from us, you should have an
SFTP site where you can upload your files and transmittal form. For further information including
the Barcode Ordering Guide and Transmittal form, please visit: http://bit.ly/RiversideGroupScoring.
Additional fees will apply.
Cost per student: .84 for locally applied
Anticipated Testing Date: ______________________________
Reporting options (check all that apply): Student data file download Web reports
REQUIRED INFORMATION
(YOUR ORDER WILL NOT BE PROCESSED WITHOUT THIS INFORMATION.)
2021–2022 School Year Gates-MacGinitie Reading Tests
®
(GMRT
®
) Fourth Edition Order Form
Permissions
NOTE: Use of GMRT content for research purposes requires permission. Information
on requesting permission can be found online at https://riversideinsights.com/
support/contact-us.
PAYMENT INFORMATION
Please enclose a valid purchase order or check
payable to “Riverside Insights”
with all orders. If payment via credit card, mark the box below.
Purchase Order enclosed. Number ______________________________________
Check enclosed. Number _____________________________________________
Credit Card payment. NOTE: An email with payment link for credit card purchases
will be sent to the email provided in the “Charge to:” section.
Charge to:
(See note above)
Ship to:
(if different from billing address)
Name
Position
Organization
Billing Address
City State Zip
Phone ( ) Fax ( )
Email address
Website URL: www.
Name
Position
Organization
Shipping Address
City State Zip
Phone ( ) Fax ( )
Email address
Website URL: www.
hmhco.com • 800.323.9540
Prices are valid until June 30, 2022 and are subject to change without notice.
riversideinsights.com
Page 2 of 7
Item and Packaging Code Number Quantity Catalog Price Total Price
Test Materials
For Levels PR, BR, 1, 2, and 3, machine-scorable and hand-scorable booklets are available. Machine-scorable test booklets must be used to obtain score reports from the
Riverside Scoring Service. A Decoding Skills Analysis Form is included in both the Level 1 and 2 hand-scorable test booklets to better help teachers identify decoding skills
students need to master.
For Levels 4–10/12 and AR, test booklets may be used with separate answer sheets or as consumable test booklets if students mark their answers directly in the booklets.
Machine-Scorable Test Booklets
Scorable by Riverside Scoring Services for an additional fee.
Pkg. 25, includes Directions for Administration and materials needed for machine scoring.
Manuals for Scoring and Interpretation must be ordered separately.
Level PR (Pre-Reading), Form S 1447819 _____________ $195.50 _____________
Level BR (Beginning Reading), Form S 1447820 _____________ $165.50 _____________
Level 1, Form S 1447821 _____________ $165.50 _____________
Level 2, Form S 1447822 _____________ $165.50 _____________
Level 3, Form S 1447823 _____________ $165.50 _____________
Level 2, Form T 1683343 _____________ $165.50 _____________
Level 3, Form T 1447825 _____________ $165.50 _____________
Hand-Scorable Test Booklets
Pkg. 25, includes Directions for Administration, 1 Booklet Scoring Key, and 1 Class Summary Record.
Manuals for Scoring and Interpretation must be ordered separately.
Level PR (Pre-Reading), Form S 940235 _____________ $118.50 _____________
Level BR (Beginning Reading), Form S 940237 _____________ $118.50 _____________
Level 1, Form S* 940239 _____________ $118.50 _____________
Level 2, Form S* 940241 _____________ $118.50 _____________
Level 3, Form S 940243 _____________ $118.50 _____________
Level 2, Form T 940245 _____________ $118.50 _____________
Level 3, Form T 940247 _____________ $118.50 _____________
*Also contains 1 Decoding Skills Analysis form.
Reusable Test Booklets
Pkg. 25, includes Directions for Administration, 1 Booklet Scoring Key, and 1 Class Summary Record.
Answer sheets and Manuals for Scoring and Interpretation must be ordered separately.
Level 4, Form S 940252 _____________ $118.50 _____________
Level 5, Form S 940254 _____________ $118.50 _____________
Level 6, Form S 940256 _____________ $118.50 _____________
Level 7/9, Form S 1457021 _____________ $118.50 _____________
Level 10/12, Form S 940260 _____________ $118.50 _____________
Level AR (Adult Reading), Form S 940262 _____________ $118.50 _____________
Level 4, Form T 940264 _____________ $118.50 _____________
Level 5, Form T 940266 _____________ $118.50 _____________
Level 6, Form T 940268 _____________ $118.50 _____________
Level 7/9, Form T 940270 _____________ $118.50 _____________
Level 10/12, Form T 940272 _____________ $118.50 _____________
Level AR (Adult Reading), Form T 940274 _____________ $118.50 _____________
Subtotal for this page _____________
Continued, next page
2021–2022 School Year Gates-MacGinitie Reading Tests (GMRT) Fourth Edition Order Form, Continued
hmhco.com • 800.323.9540
Prices are valid until June 30, 2022 and are subject to change without notice.
riversideinsights.com
Page 3 of 7
Item and Packaging Code Number Quantity Catalog Price Total Price
Directions for Administration
Single copy
Level PR (Pre-Reading), Form S 940275 _____________ $16.17 _____________
Level BR (Beginning Reading), Form S 940276 _____________ $16.17 _____________
Level 1, Form S 940277 _____________ $16.17 _____________
Level 2, Forms S and T 940278 _____________ $16.17 _____________
Level 3, Forms S and T 940279 _____________ $16.17 _____________
Levels 4, 5, and 6, Forms S and T 940280 _____________ $16.17 _____________
Levels 7/9 and 10/12, Forms S and T 940281 _____________ $16.17 _____________
Level AR (Adult Reading), Forms S and T 940282 _____________ $16.17 _____________
Answer Documents
For Levels 4 through 10/12 and AR, machine-scorable and self-scorable answer sheets are available. Machine-scorable answer sheets must be used to obtain score reports
from the Riverside Scoring Service or may also be hand scored using a scoring template (see p. 5 of the order form). Booklet Scoring Keys are available for hand scoring for
all test levels when answer sheets are not used.
Scored by Riverside Scoring Service at an additional fee or hand scored with Booklet Scoring Keys or scoring templates.
Pkg. 100, includes materials for machine scoring
Level 4, Forms S and T 1447826 _____________ $168.00 _____________
Level 5, Forms S and T 1447827 _____________ $168.00 _____________
Level 6, Forms S and T 1447828 _____________ $168.00 _____________
Level 7/9, Forms S and T 1447829 _____________ $168.00 _____________
Level 10/12, Forms S and T 1447830 _____________ $168.00 _____________
Level AR (Adult Reading), Forms S and T 1447831 _____________ $168.00 _____________
Self-Scorable Answer Sheets
Pkg. 25, includes 1 Class Summary Record
Level 4, Forms S and T 940335 _____________ $63.00 _____________
Level 5, Forms S and T 940338 _____________ $63.00 _____________
Level 6, Forms S and T 940341 _____________ $63.00 _____________
Level 7/9, Forms S and T 940344 _____________ $63.00 _____________
Level 10/12, Forms S and T 940347 _____________ $63.00 _____________
Level AR (Adult Reading), Forms S and T 940350 _____________ $63.00 _____________
Self-Scorable Answer Sheets
Pkg. 250, no other materials included
Level 4, Forms S and T 940336 _____________ $565.00 _____________
Level 5, Forms S and T 940339 _____________ $565.00 _____________
Level 6, Forms S and T 940342 _____________ $565.00 _____________
Level 7/9, Forms S and T 940345 _____________ $565.00 _____________
Level 10/12, Forms S and T 940348 _____________ $565.00 _____________
Level AR (Adult Reading), Forms S and T 940351 _____________ $565.00 _____________
Subtotal for this page _____________
Continued, next page
2021–2022 School Year Gates-MacGinitie Reading Tests (GMRT) Fourth Edition Order Form, Continued
hmhco.com • 800.323.9540
Prices are valid until June 30, 2022 and are subject to change without notice.
riversideinsights.com
Page 4 of 7
2021–2022 School Year Gates-MacGinitie Reading Tests (GMRT) Fourth Edition Order Form, Continued
Item and Packaging Code Number Quantity Catalog Price Total Price
Manuals for Scoring and Interpretation—Normative Update
Norms Tables for Normative Update provide information on how to hand score the tests, how to use the 2017 norms, and what the scores mean. Also provides fall, winter,
and spring norm tables.
Single copy
Level PR (Pre-Reading), Form S, 2017 Norms 1757074 _____________ $32.29 _____________
Level BR (Beginning Reading), Form S, 2017 Norms 1757075 _____________ $32.29 _____________
Level 1, Form S, 2017 Norms 1757024 _____________ $32.29 _____________
Level 2, Form S and T, 2017 Norms 1757027 _____________ $32.29 _____________
Level 3, Forms S and T, 2017 Norms 1757028 _____________ $32.29 _____________
Levels 4, 5 and 6, Forms S and T, 2017 Norms 1757029 _____________ $32.29 _____________
Levels 7/9 and 10/12, Forms S and T, 2017 Norms 1757030 _____________ $32.29 _____________
Levels AR (Adult Reading), Forms S and T, 2017 Norms 1757026 _____________ $32.29 _____________
Manuals for Scoring and Interpretation
Provide information on how to hand score the tests, how to use the 2006 norms, and what the scores mean. Also provides fall, winter, and spring norm tables.
Single copy
Level PR (Pre-Reading), Form S, 2006 Norms 940442 _____________ $32.29 _____________
Level BR (Beginning Reading), Form S, 2006 Norms 940443 _____________ $32.29 _____________
Level 1, Form S, 2006 Norms 940444 _____________ $32.29 _____________
Level 2, Forms S and T, 2006 Norms 940445 _____________ $32.29 _____________
Level 3, Forms S and T, 2006 Norms 940446 _____________ $32.29 _____________
Levels 4, 5, and 6, Forms S and T, 2006 Norms 940447 _____________ $32.29 _____________
Levels 7/9 and 10/12, Forms S and T, 2006 Norms 940448 _____________ $32.29 _____________
Level AR (Adult Reading), Forms S and T, 2006 Norms 940449 _____________ $32.29 _____________
Booklet Scoring Key
Provides reduced-size booklet pages for fast, accurate hand scoring
Single copy
Level PR (Pre-Reading), Form S 940291 _____________ $14.81 _____________
Level BR (Beginning Reading), Form S 940292 _____________ $14.81 _____________
Level 1, Form S 940293 _____________ $14.81 _____________
Level 2, Form S 940294 _____________ $14.81 _____________
Level 3, Form S 940295 _____________ $14.81 _____________
Level 4, Form S 940296 _____________ $14.81 _____________
Level 5, Form S 940297 _____________ $14.81 _____________
Level 6, Form S 940298 _____________ $14.81 _____________
Level 7/9, Form S 1456877 _____________ $14.81 _____________
Level 10/12, Form S 940300 _____________ $14.81 _____________
Level AR (Adult Reading), Form S 940301 _____________ $14.81 _____________
Level 2, Form T 940302 _____________ $14.81 _____________
Subtotal for this page _____________
Continued, next page
hmhco.com • 800.323.9540
Prices are valid until June 30, 2022 and are subject to change without notice.
riversideinsights.com
Page 5 of 7
Item and Packaging Code Number Quantity Catalog Price Total Price
Booklet Scoring Key (continued)
Level 3, Form T 940303 _____________ $14.81 _____________
Level 4, Form T 940304 _____________ $14.81 _____________
Level 5, Form T 940305 _____________ $14.81 _____________
Level 6, Form T 940306 _____________ $14.81 _____________
Level 7/9, Form T 940307 _____________ $14.81 _____________
Level 10/12, Form T 940308 _____________ $14.81 _____________
Level AR (Adult Reading), Form T 940309 _____________ $14.81 _____________
Scoring Templates for Machine-Scorable Answer Sheets
Acetate scoring templates overlay the machine-scorable answer sheet.
Single sheet
Level 4, Form S 940310 _____________ $39.12 _____________
Level 5, Form S 940311 _____________ $39.12 _____________
Level 6, Form S 940312 _____________ $39.12 _____________
Level 7/9, Form S 940313 _____________ $39.12 _____________
Level 10/12, Form S 940314 _____________ $39.12 _____________
Level AR (Adult Reading), Form S 940315 _____________ $39.12 _____________
Level 4, Form T 940316 _____________ $39.12 _____________
Level 5, Form T 940317 _____________ $39.12 _____________
Level 6, Form T 940318 _____________ $39.12 _____________
Level 7/9, Form T 940319 _____________ $39.12 _____________
Level 10/12, Form T 940320 _____________ $39.12 _____________
Level AR (Adult Reading), Form T 940321 _____________ $39.12 _____________
Class and Group Summary Record Forms
For recording individual scores, as well as calculating and recording group averages.
Pkg. 25, no other materials included
Level PR (Pre-Reading), Form S 940353 _____________ $19.00 _____________
Level BR (Beginning Reading), Form S 940355 _____________ $19.00 _____________
Level 1, Form S 940357 _____________ $19.00 _____________
Level 2, Forms S and T 940359 _____________ $19.00 _____________
Levels 3–10/12, Forms S and T 940429 _____________ $19.00 _____________
Level AR (Adult Reading), Forms S and T 940363 _____________ $19.00 _____________
Subtotal for this page _____________
Continued, next page
2021–2022 School Year Gates-MacGinitie Reading Tests (GMRT) Fourth Edition Order Form, Continued
hmhco.com • 800.323.9540
Prices are valid until June 30, 2022 and are subject to change without notice.
riversideinsights.com
Page 6 of 7
Item and Packaging Code Number Quantity Catalog Price Total Price
2021–2022 School Year Gates-MacGinitie Reading Tests (GMRT) Fourth Edition Order Form, Continued
Decoding Skills Analysis Forms
For recording and analyzing students’ decoding errors.
Single copy
Level 1, Form S 940248 _____________ $6.25 _____________
Level 2, Form S 940249 _____________ $6.25 _____________
Level 2, Form T 940250 _____________ $6.25 _____________
2006 Quarter-month Norms Tables—CD-ROM
Quartermonth norms are used when testing occurs outside the normal testing window.
NOTE: Quarter-month norm tables not available for 2017 norms.
940454 _____________ $34.23 _____________
Scoring and Reporting Materials
Bundled Technical Report & Supplement Report
The Technical Report provides information about how the tests were developed and standardized, including statistical information. Includes a supplement that discusses the
norming. Purchase the supplement alone if you already have the original Technical Report.
Technical Supplement Report (2017 Normative Update) 2000121 _____________ $40.48 _____________
Bundled Technical Report & Supplement Report (2017 Normative Update) 2000122 _____________ $60.64 _____________
Supplement Only (2006 Norms) 940453 _____________ $40.48 _____________
Bundled Technical Report & Supplement Report (2006 Norms) 940451 _____________ $60.64 _____________
IMPORTANT NOTE: Technical information for the 2017 normative update available in Digital Resources in DataManager.
Linking Testing to Teaching:
A Classroom Resource for Reading Assessment and Instruction
Provides insight on how to use the test scores as part of a comprehensive reading assessment program and how to use the test scores to guide instruction.
Single copy
Level PR (Pre-Reading), Form S 940391 _____________ $21.53 _____________
Level BR (Beginning Reading), Form S 940392 _____________ $21.53 _____________
Level 1, Form S 940393 _____________ $21.53 _____________
Level 2, Forms S and T 940394 _____________ $21.53 _____________
Level 3, Forms S and T 940395 _____________ $21.53 _____________
Levels 4, 5, and 6, Forms S and T 940396 _____________ $21.53 _____________
Levels 7/9 and 10/12, Forms S and T 940397 _____________ $21.53 _____________
Level AR (Adult Reading), Forms S and T 940398 _____________ $21.53 _____________
Lexile
®
Conversions Manual for GMRT, Fourth Edition
Includes norms tables needed to derive Lexile scores from GMRT scores.
Single copy 940441 _____________ $43.58 _____________
Subtotal for this page _____________
Continued, next page
hmhco.com • 800.323.9540
riversideinsights.com
Prices are valid until June 30, 2022 and are subject to change without notice.
Page 7 of 7
2021–2022 School Year Gates-MacGinitie Reading Tests (GMRT) Fourth Edition Order Form, Continued
*A shipping service fee is prepaid and added to the invoice.
Estimate 10% ($20.00 minimum) for ground shipping;
15% ($25.00 minimum) for Second Day Air;
17% ($35.00 minimum) for Next Day Air shipping;
and 25% ($27.50 minimum) for international shipments.
Product Order Subtotal __________
State Sales Tax __________
Shipping Service Fee* __________
Order Total __________
© Riverside Assessments, LLC. All rights reserved. Printed in the U.S.A. 05/14/21
Prices are valid until June 30, 2022 and are subject to change without notice.
All orders will be filled at prices in effect upon receipt of your order.
To obtain the most up to date pricing, please visit us online at www.riversideinsights.com.
Note: To ensure adequate processing time when submitting
an expedited RUSH order, please email your order to
orders@riversideinsights.com with URGENT in the Subject Line
of the email.
*A shipping service fee is prepaid and added to the invoice.
Estimate 10% ($20.00 minimum) for ground shipping;
15% ($25.00 minimum) for Second Day Air;
17% ($35.00 minimum) for Next Day Air shipping;
and 25% ($27.50 minimum) for international shipments.
Product Order Subtotal __________
State Sales Tax __________
Shipping Service Fee* __________
Order Total __________
Via our online PO portal: https://riversideinsights.info/order
Via email: orders@riversideinsights.com
How to Place Your Order:
For more information, including our W-9 form, please visit our “How Can We Help” support page on our
website at https://info.riversideinsights.com/contact_us.
hmhco.com • 800.323.9540
riversideinsights.com
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GMRT 4th Edition 2021-2022 School Year Order Form EDITABLE

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Completed 11 July 2021

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