New York State Education Department

Office of Standards, Assessment and Reporting

Application for SED Item Writer Orientation

Each year the New York State Education Department (SED) provides a professional development opportunity in the form of item writer orientation. The purpose of this orientation is to train individuals to develop multiple-choice and constructed-response items or to select passages for possible use on future State assessments. If you are interested in receiving training to develop test items or to select passages, please complete the following application and submit it to SED. Depending on the specific subject, training may be through a one- or two-day training session or by mail. Training sessions are held at the New York State Education Department in Albany and regionally as needed. Preference will be given to individuals who are currently teaching. Selected applicants will be contacted when training is scheduled in the subject area(s) indicated on their application.

Participants' travel related expenses will be reimbursed in compliance with New York State travel policies, and participants receive payment for the hours attending the training session. It is suggested that you check your district's policies and your contract regarding this payment. Participants must agree to accept an assignment and will be paid for completing and submitting the required test items.

If you are interested in writing examination items or selecting passages, please indicate your area(s) of certification and of interest below and complete the application.

Name: __________________________________________ Date: ____________________

Home Address: ____________________________________________________________

_________________________________________________________________________

Home Phone: (_____) ____________ Home e-mail:________________________________

Education: BA/BS _____________ MA/MS _______________ Other __________________

Area(s) of Certification: _____________________________________________________

Subject(s) currently teaching: _________________________________________________

Years of teaching experience: ___________

Current School District: _____________________________________________________

School Name: _____________________________________________________________

School Address: ___________________________________________________________

_________________________________________________________________________

School Phone: (_____) ___________ School/Work e-mail:__________________________

Please check the boxes below that appropriately describe your school.

What is your native/first language? (Optional) ________________________________

Please return completed form to:
New York State Education Department
Office of Standards, Assessment and Reporting
Test Development Bureau
Room 760 EBA
Albany, NY 12234
Fax 518-486-5765

rev 10/07