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Proctor (use optional)
Writing − Form A
Grade 4
Spring 2014
If any information on a pre-identified test booklet or Student Pre-ID Adhesive
Label is incorrect, notify the school assessment coordinator.
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copy or discuss any part of this test with anyone.
Student’s Signature
Date
Notes: Proctor/Coordinator Use
549401-10403000018
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All test booklets are confidential and secure. No part of this test
booklet may be reproduced or transmitted in any form or by any
means, electronic or mechanical, including photocopying, recording, or
by any information storage and retrieval system. RCW 28A.635.040,
RCW 42.56.250, and WAC 181-87-060 provide penalties for the
unauthorized use or disclosure of test content.
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DO NOT
WRITE ON
THIS PAGE.
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WRITING TO TELL A STORY: Session One
The following is a Checklist of Scoring Criteria for Session One,
Prompt A: Writing to Tell a Story. You may use this Checklist for
prewriting and writing your first draft. Your score will be based on this
Checklist.
My story will be very good if I have thoughtful and specific
content and organize my writing. That means I should
follow the directions given in the writing prompt;
create a manageable—not too small, not too big—plot with a
beginning, middle, and end;
organize my actions/events so there is a sense of story where
each action/event in the story leads to the next one;
elaborate important events by describing characters,
settings, and actions through the use of specific words,
descriptive/sensory details, and purposeful dialogue;
organize my writing in paragraphs;
use words that help show how the events in the story are
connected.
My story will be very good if I have an interesting style.
That means I should
show that I care about my story;
use words and phrases that help the reader imagine the
characters, setting, and events;
use different types and lengths of sentences.
My story will be very good if I follow conventions in
writing. That means I should
follow the rules of correct English usage (for example, correct
pronouns for subjects, verb endings, subject-verb
agreement),
spell words correctly,
use correct capitalization,
use correct punctuation (periods, commas, quotation marks,
question marks),
write complete sentences,
show where new paragraphs begin.
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WRITING TO TELL A STORY: Session One
Grade 4: Approved Materials
Materials Needed
Materials Available
Grade 4 Writing Test Booklet
Yellow, Lined Scratch Paper
(at least 3 pieces per student)
Commercially Published Thesaurus
and Dictionary in Print Form
Number 2 Pencils
Reminder: Use only a number 2 pencil. Other writing tools, including pens,
markers, colored pencils, highlighters, or mechanical pencils, are not
permitted. If you use another writing tool, your test may not be scored.
Directions for Prewriting:
Prewriting is a great way to get started on a writing prompt because it gives you
ideas to start with. It also helps you plan and organize your ideas before you write.
There are different kinds of prewriting. Choose a kind of prewriting that you know
and like.
Directions for First Draft:
Use the best ideas from your prewriting to write your first draft. Since it is a draft,
it is okay to cross out words and sentences and try different ways to get your ideas
across. Use scratch paper for your first draft.
Directions for Final Draft:
Writers often make changes as they work. Before you begin your final draft, read
the Checklist on page 4 again. Then make revisions and edits to your first draft
according to the Checklist.
When you have made your revisions and edits, write your final draft in the
FINAL DRAFT:
FINAL
DRAFT:Session
Session One
One section of this booklet. Be sure to write neatly and
clearly in the answer space provided. Your work must stay within one-half inch of
the outer edges of your test booklet. If you extend beyond that space, that part of
your response may not be seen by those who score your work.
After you have finished writing your final draft in this booklet, read the Checklist
one more time to make sure you have done your best writing. If you need to make
any final revisions or edits, make them on your final draft.
Reminder: The only piece of writing that will be scored is your final draft on pages
FINAL DRAFT:
10 through 14 in the FINAL
DRAFT:Session
Session One
One section of this test booklet.
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PREWRITING: Session One
Directions for Prewriting:
There are different kinds of prewriting. Choose a kind of prewriting that you know
and like. Prewriting is a great way to get ideas to start with. It also helps you plan
and organize your ideas before you write.
Your prewriting will not be scored.
You may use this space or the scratch paper provided to begin your prewriting.
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DO NOT
WRITE ON
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FIRST DRAFT: Session One
Directions for First Draft:
Use the best ideas from your prewriting to write your first draft on the scratch
paper provided. Since it is a draft, it is okay to cross out words and sentences and
try different ways to get your ideas across.
Your first draft will not be scored.
Use Scratch Paper
for First Draft—
Session One.
DO NOT
WRITE ON
THIS PAGE.
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FINAL DRAFT: Session One
Page 2 of 5
You may use this space to continue your final draft.
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FINAL DRAFT: Session One
Page 3 of 5
You may use this space to continue your final draft.
549401-10403000125
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FINAL DRAFT: Session One
Page 4 of 5
You may use this space to continue your final draft.
549401-10403000133
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FINAL DRAFT: Session One
Page 5 of 5
You may use this space to continue your final draft.
END OF SESSION ONE: WRITING TO TELL A STORY
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End of Session One
Prompt A: Writing to Tell a Story
Do not look beyond this page
until asked to do so.
If you look beyond this page,
your work may not be scored.
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DO NOT
LOOK
BEYOND
THIS PAGE
UNTIL ASKED
TO DO SO.
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DO NOT
LOOK
BEYOND
THIS PAGE
UNTIL ASKED
TO DO SO.
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WRITING TO EXPLAIN: Session Two
The following is a Checklist of Scoring Criteria for Session Two,
Prompt B: Writing to Explain. You may use this Checklist for prewriting
and writing your first draft. Your score will be based on this Checklist.
My writing will be very good if I have thoughtful and specific
content and organize my writing. That means I should
follow the directions given in the writing prompt;
narrow my topic;
stay focused on my main ideas;
elaborate by using reasons, well-chosen and specific details,
examples, and/or anecdotes to support my ideas;
include information that is interesting, thoughtful, and necessary
for my audience to know;
organize my writing so that there is an opening/introduction, a
middle, and a conclusion;
organize my writing in paragraphs;
use words that help show how my ideas are connected.
My writing will be very good if I have an interesting style. That
means I should
show that I care about my topic,
use language that fits my audience and purpose,
use words and phrases that help the reader understand my ideas,
use different types and lengths of sentences.
My writing will be very good if I follow conventions in writing.
That means I should
follow the rules of correct English usage (for example, correct pronouns
for subjects, verb endings, subject-verb agreement),
spell words correctly,
use correct capitalization,
use correct punctuation (periods, commas, quotation marks,
question marks),
write complete sentences,
show where new paragraphs begin.
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WRITING TO EXPLAIN: Session Two
Grade 4: Approved Materials
Materials Needed
Materials Available
Grade 4 Writing Test Booklet
Yellow, Lined Scratch Paper
(at least 3 pieces per student)
Commercially Published Thesaurus
and Dictionary in Print Form
Number 2 Pencils
Reminder: Use only a number 2 pencil. Other writing tools, including pens,
markers, colored pencils, highlighters, or mechanical pencils, are not
permitted. If you use another writing tool, your test may not be scored.
Directions for Prewriting:
Prewriting is a great way to get started on a writing prompt because it gives you
ideas to start with. It also helps you plan and organize your ideas before you write.
There are different kinds of prewriting. Choose a kind of prewriting that you know
and like.
Directions for First Draft:
Use the best ideas from your prewriting to write your first draft. Since it is a draft,
it is okay to cross out words and sentences and try different ways to get your ideas
across. Use scratch paper for your first draft.
Directions for Final Draft:
Writers often make changes as they work. Before you begin your final draft, read
the Checklist on page 18 again. Then make revisions and edits to your first draft
according to the Checklist.
When you have made your revisions and edits, write your final draft in the
FINAL DRAFT:
FINAL
DRAFT:Session
Session Two
Two section of this booklet. Be sure to write neatly and
clearly in the answer space provided. Your work must stay within one-half inch of
the outer edges of your test booklet. If you extend beyond that space, that part of
your response may not be seen by those who score your work.
After you have finished writing your final draft in this booklet, read the Checklist
one more time to make sure you have done your best writing. If you need to make
any final revisions or edits, make them on your final draft.
Reminder: The only piece of writing that will be scored is your final draft on pages
FINAL DRAFT:
24 through 28 in the FINAL
DRAFT:Session
Session Two
Two section of this test booklet.
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PREWRITING: Session Two
Directions for Prewriting:
There are different kinds of prewriting. Choose a kind of prewriting that you know
and like. Prewriting is a great way to get ideas to start with. It also helps you plan
and organize your ideas before you write.
Your prewriting will not be scored.
You may use this space or the scratch paper provided to begin your prewriting.
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DO NOT
WRITE ON
THIS PAGE.
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FIRST DRAFT: Session Two
Directions for First Draft:
Use the best ideas from your prewriting to write your first draft on the scratch
paper provided. Since it is a draft, it is okay to cross out words and sentences and
try different ways to get your ideas across.
Your first draft will not be scored.
Use Scratch Paper
for First Draft—
Session Two.
DO NOT
WRITE ON
THIS PAGE.
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FINAL DRAFT: Session Two
Page 2 of 5
You may use this space to continue your final draft.
549401-10403000257
PAGE 25
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FINAL DRAFT: Session Two
Page 3 of 5
You may use this space to continue your final draft.
549401-10403000265
PAGE 26
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FINAL DRAFT: Session Two
Page 4 of 5
You may use this space to continue your final draft.
549401-10403000273
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FINAL DRAFT: Session Two
Page 5 of 5
You may use this space to continue your final draft.
END OF SESSION TWO: WRITING TO EXPLAIN
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End of Session Two
Prompt B: Writing to Explain
Do not look at your work in
the previous session.
If you look at the previous session,
your work may not be scored.
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DO NOT
WRITE ON
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School Name
NO. 2 PENCIL
●Use only a No. 2 pencil.
●Do not use a mechanical pencil or pen.
●Make heavy black marks that completely fill the circle.
●Erase completely any marks that you wish to change,
and fill the ‘N’ circle, when available.
●Make no stray marks on this sheet.
1. STATE STUDENT ID NUMBER
(10-digit)
0000000000
1111111111
2222222222
3333333333
4444444444
5555555555
6666666666
7777777777
8888888888
9999999999
Grade 4
Writing − Form A
3. DISTRICT STUDENT ID NUMBER
5.
0000000000
1111111111
2222222222
3333333333
4444444444
5555555555
6666666666
7777777777
8888888888
9999999999
`
GENDER
MALE
`
FEMALE
LAST NAME
6. MARK ALL ACCOMMODATIONS USED DURING TESTING.
IEP 504 ELL
Braille
Brailler
Large Print
Low-Vision: Devices
ASL (Am Sign Lang)
SEE (Signing Exact Eng)
Text-to-Speech: Read-Aloud
Oral Presentation (English)
Word-Prediction Software
Speech-to-Text
Scribe
Recorder: Tape or Digital
Dictionary/Thesaurus:
Electronic
Translation: Bilingual
Word-to-Word Dictionary
Auditory Calming
More Than 1 Day Per Test
DATE OF BIRTH
Month
4.
2.
District Name
` JAN
` FEB
` MAR
` APR
` MAY
` JUN
` JUL
` AUG
` SEP
` OCT
` NOV
` DEC
Day
Year
0000
11 1
22 2
33 3
4 4
5 5
6 6
7 7
8 8
999
FIRST NAME
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y Y
Y Y
Y
Y
Y
Y
Y
Y
Y Y
Y Y
M
COORDINATOR USE: See ACM Critical Reminders
AAAAAA AAAAAAAAAAAAAAAAAAAAAAA
BBBBBB BBBBBBBBBBBBBBBBBBBBBBB
CCCCCC CCCCCCCCCCCCCCCCCCCCCCC
DDDDDD DDDDDDDDDDDDDDDDDDDDDDD
EEEEEE EEEEEEEEEEEEEEEEEEEEEEE
FFFFFF FFFFFFFFFFFFFFFFFFFFFFF
GGGGGG GGGGGGGGGGGGGGGGGGGGGGG
HHHHHH HHHHHHHHHHHHHHHHHHHHHHH
IIIIII IIIIIIIIIIIIIIIIIIIIIII
JJJJJJ JJJJJJJJJJJJJJJJJJJJJJJ
KKKKKK KKKKKKKKKKKKKKKKKKKKKKK
LLLLLL LLLLLLLLLLLLLLLLLLLLLLL
MMMMMM MMMMMMMMMMMMMMMMMMMMMMM
NNNNNN NNNNNNNNNNNNNNNNNNNNNNN
OOOOOO OOOOOOOOOOOOOOOOOOOOOOO
PPPPPP PPPPPPPPPPPPPPPPPPPPPPP
QQQQQQ QQQQQQQQQQQQQQQQQQQQQQQ
RRRRRR RRRRRRRRRRRRRRRRRRRRRRR
SSSSSS SSSSSSSSSSSSSSSSSSSSSSS
TTTTTT TTTTTTTTTTTTTTTTTTTTTTT
UUUUUU UUUUUUUUUUUUUUUUUUUUUUU
VVVVVV VVVVVVVVVVVVVVVVVVVVVVV
WWWWWW WWWWWWWWWWWWWWWWWWWWWWW
XXXXXX XXXXXXXXXXXXXXXXXXXXXXX
YYYYYY YYYYYYYYYYYYYYYYYYYYYYY
ZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZ
549401-10403000323
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7.
IF THIS STUDENT WAS NOT
TESTED, INDICATE THE REASON.
YN ABS (Excused)
YN ABS (Unexcused)
YN Refused (Parent)
YN Refused (Student)
YN Previously Passed (PP)
8.
MSP-BASIC
YN Writing
9.
FULL TIME
HOME-BASED or
PRIVATE SCHOOL
12.
IRREGULAR
ADMINISTRATION
Y N Individual
YN Group
YN Make-up
Y N Home-based
YN Private
13.
10.
14. PRE-ID OVERRIDE
Grid “Y” to indicate
information in boxes
1-5 replaces Pre-ID
information on cover.
EXEMPTION
YN NNEP (First
enrolled in
U.S. school
2013-2014)
11. DISTRICT PROGRAM
1
2
ABCDE
ABCDE
INVALIDATION
YN Writing
YN
15.
STATE USE
1
2
3
4
YN
YN
YN
YN
SERIAL#
Data Recognition Corp. - XXXXX - 54321