Fill - Free fillable NDE08058 Revised 6/24/20 Page1or1 FOR20202021SCHOOLYEAR DAC/NTACContactUpdateForm Superintendent JeremyHeneger,DirectorofStatewideAssessment (Nebraska) PDF form

NDE‐08‐058

Revised

6/24/20

Page1or1

FOR2020‐2021SCHOOLYEAR

DAC/NTACContactUpdateForm

TO:

Superintendent

FROM:

JeremyHeneger,DirectorofStatewideAssessment

DistrictAssessmentContact(DAC):Eachdistrictisabletodesignateoneofficialcontactforthepurposeofreceiving

informationforallNSCASsubjectareasandallassessment‐relatedcommunications;includingpasswordsandofficial

documentsprovidedtoandfromtheStatewideAssessmentoffice.TheDACwillhaveth

eresponsibilitytodisseminate

this

informationtoasmanyusersinsidethedistrictasareneeded.Suchinformationmayincludesensitivestudentdataon:

 NSCASEnglishLanguageArtstestinformation  NSCASACTAssessmenttestinformation

 NSCASMathematicstestinformation  NSCASELPA21testinformation

 NSCASScie

ncetestinformati

on  Standards,Assessment,andAccountabilityupdates

 NSCASAlternateAssessmenttestinformation

NSCASTechnologyAssessmentContact (NTAC): Each District is able to designate one person to serve as the

contactforinformationconcerningthetechnologyusedfortheNSCAStesting.

ReturnthiscompletedformtotheAssessmentOfficeiftheDA

CorNTAChasupdatedcontactinformation(such

asanewemail)oriftherole(s)hasbeenassumedbyanewperson(s).Thesamepersonisallowedtobeassigned

bothroles.

Checkappropriatebox(pleasecompleteaseparateformforeach):

____DACupdateor____NTACupdate

District:

EffectiveDate:

Name

Email:

Address:

City Zip

Phone:

 

Title:

NOTE: DACswhoarecurrentlyonthecontactlistwillcontinuetoreceiveallemail communicationsfromtheStatewide

Assessmentoffice.

SuperintendentSignature

Date



Pleasereturnthiscompletedformusingoneofthemethodsbelow:

StatewideAssessmentFAX:402742‐2319

scanandsendto: nde.stateassessment@nebraska.gov

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