COMPUTEST™ online Diagnostic Registration For students who want instant scoring feedback by completing an online computerized version of the SSAT* in the comfort of your own home, PREPSKILLS Inc. is proud to offer this exclusive opportunity with COMPUTEST™ An online test developed exclusively by PREPSKILLS® - The diagnostic test is organized for Lower and Upper level students so that it parallels the sections and format of the official SSAT*, including time limits. The main purpose of the diagnostic test is to help the teacher and student discover weaknesses and strengths in terms of strategy, content, skills and time management. Parents are provided with detailed progress reports. Writing samples will be assessed and feedback will be provided. Select your level: SSAT - UPPER LEVEL (Grades 8 - 11) SSAT - LOWER LEVEL (Grades 5 - 7) Email Address: REQUIRED (Important: A Respondent ID Code will be issued via email. Your results will be forwarded via email. Please fax or email the writing sample for evaluation.) How did you learn about PREPSKILLS®? Please Select: Internet search School/Teacher Friend PREPSKILLS Seminar Education Fair Brochure/Flyer PREPSKILLS Sign Education Guide Other, Please Specify Specify: STUDENT INFORMATION Student First Name Student Last Name School Presently Attended Current Grade 4 5 6 7 8 9 10 11 When do you anticipate enrolment? Has the student written the SSAT before? Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 for Grade 4 5 6 7 8 9 10 11 entry Yes No If yes, when? Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 What were the scores? (Ensure you forward your score report to info@prepskills.com) PARENT INFORMATION (Mother) First Name Last Name Phone Number Email (Father) First Name Last Name Phone Number Email MAILING ADDRESS Address City Province Postal Code Ontario Quebec Newfoundland New Brunswick Nova Scotia Prince Edward Island Manitoba Saskatchewan Alberta British Columbia Northwest Territories Yukon ADDITIONAL INFORMATION Comments INFORMATION For more information please phone (416) 200-7728 I agree to the terms and conditions set forth by PREPSKILLS Inc. I recognize and accept that no reputable organization can make any guarantee as the development of skills or the results of future tests. I hereby release PREPSKILLS INC. or staff and the location from all claims, demands, losses, actions suits or proceeding rising out of the participation of the applicant named in any facility or at any location where the program/tutoring is being held.