TE-3_-_SAMPLE__Rating_Form.rtf

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Defense Language Institute Foreign Language Center Directorate of Testing Proficiency Standards Division

SAMPLE QC Rater Form

Examinee

SAMPLE QC RATER FORM

Date QC Rater's Name DLI Rating Language file_6.wmf file_7.wmf

WARM-UP TOPICS, INFORMATION and ANY COMMENTS:

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Breakdown

MET

If probe, Performance

Plus level?

(LC, SC, D, TT, SL)

TASKS & LEVEL TOPICS EXAMINEE'S PERFORMANCE and QUESTIONS file_9.wmf file_10.wmf file_11.wmf file_12.wmf file_13.wmf file_14.wmf file_15.wmf file_16.wmf file_17.wmf file_18.wmf file_19.wmf file_20.wmf file_21.wmf file_22.wmf file_23.wmf file_24.wmf file_25.wmf file_26.wmf file_27.wmf file_28.wmf file_29.wmf file_30.wmf file_31.wmf file_32.wmf file_33.wmf file_34.wmf file_35.wmf file_36.wmf file_37.wmf file_38.wmf file_39.wmf file_40.wmf file_41.wmf file_42.wmf file_43.wmf file_44.wmf file_45.wmf file_46.wmf file_47.wmf file_48.wmf file_49.wmf file_50.wmf file_51.wmf file_52.wmf file_53.wmf file_54.wmf file_55.wmf file_56.wmf file_57.wmf file_58.wmf file_59.wmf file_60.wmf file_61.wmf

Breakdown

MET

If probe, Performance

Plus level?

(LC, SC, D, TT, SL)

TASKS & LEVEL TOPICS EXAMINEE'S PERFORMANCE

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WIND DOWN?

Yes No

Comments - Justify your rating based on examinee's performance:

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Comments - Please write down any elicitation and/or structure issues:

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Defense Language Institute Foreign Language Center Directorate of Testing Proficiency Standards Division

Code of Conduct for Rating

The provided recordings constitute controlled test material For Official Use Only (FOUO). By signing this Code of Conduct, I agree to abide by the following:

I will listen to the recordings using a headset so that no one else can hear the material.

I will ensure that no one else reads the 3rd rating forms.

I will not discuss the content of the recordings with anyone, including the examinee, other students/job applicants, other testers, non-testers, and civilian or military supervisors.

I will consult Proficiency Standards personnel if I have any questions or concerns.

I have read, I understand, and I agree to abide by this Code of Conduct. I understand that failure to abide by it, is grounds for decertification by PSD and may result in adverse administration action.

Date Signed:

Full Name:

Click inside the box to digitally sign your name: