ETS
®
Proficiency Profile Special Reports
Learning Gains Report - Request Form
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Note that fields marked with an
*
are required.
*
Requestor's Name:
*
Requestor's Title:
*
Institution Name:
*
Identifier
1
:
*
Street Address:
*
City/State/Zip:
*
Phone Number:
*
Email Address:
1
Your institution Identifier can be located in ETS Program Workshop under Administration --> Profile
In order to generate this report, ETS needs to know which students should be included in your sample. Please enter
either
(a) an administration date range
or
(b) a list of cohorts below upon which this report should be based. If a date range is selected, all students tested during this period will be included in your report. If specific cohorts are selected, only those students will be included in your report. If your data includes more than 20 cohorts, please indicate a date range instead starting with the earliest cohort and ending with the most recent. Please
do not
select both a date range and specific cohorts.
(a)
Beginning Test Date: (Month/Year)
Ending Test Date: (Month/Year)
OR
(b)
Cohort Name
2
# Completed Results
2
Cohort Close Date
2
Cohort ID Number
3
1.
(b)
1.
Cohort Name
2
(b)
1.
# Completed Results
2
(b)
1.
Cohort Close Date
2
(b)
1.
Cohort ID Number
3
2.
(b)
2.
Cohort Name
2
(b)
2.
# Completed Results
2
(b)
2.
Cohort Close Date
2
(b)
2.
Cohort ID Number
3
3.
(b)
3.
Cohort Name
2
(b)
3.
# Completed Results
2
(b)
3.
Cohort Close Date
2
(b)
3.
Cohort ID Number
3
4.
(b)
4.
Cohort Name
2
(b)
4.
# Completed Results
2
(b)
4.
Cohort Close Date
2
(b)
4.
Cohort ID Number
3
5.
(b)
5.
Cohort Name
2
(b)
5.
# Completed Results
2
(b)
5.
Cohort Close Date
2
(b)
5.
Cohort ID Number
3
6.
(b)
6.
Cohort Name
2
(b)
6.
# Completed Results
2
(b)
6.
Cohort Close Date
2
(b)
6.
Cohort ID Number
3
7.
(b)
7.
Cohort Name
2
(b)
7.
# Completed Results
2
(b)
7.
Cohort Close Date
2
(b)
7.
Cohort ID Number
3
8.
(b)
8.
Cohort Name
2
(b)
8.
# Completed Results
2
(b)
8.
Cohort Close Date
2
(b)
8.
Cohort ID Number
3
9.
(b)
9.
Cohort Name
2
(b)
9.
# Completed Results
2
(b)
9.
Cohort Close Date
2
(b)
9.
Cohort ID Number
3
10.
(b)
10.
Cohort Name
2
(b)
10.
# Completed Results
2
(b)
10.
Cohort Close Date
2
(b)
10.
Cohort ID Number
3
11.
(b)
11.
Cohort Name
2
(b)
11.
# Completed Results
2
(b)
11.
Cohort Close Date
2
(b)
11.
Cohort ID Number
3
12.
(b)
12.
Cohort Name
2
(b)
12.
# Completed Results
2
(b)
12.
Cohort Close Date
2
(b)
12.
Cohort ID Number
3
13.
(b)
13.
Cohort Name
2
(b)
13.
# Completed Results
2
(b)
13.
Cohort Close Date
2
(b)
13.
Cohort ID Number
3
14.
(b)
14.
Cohort Name
2
(b)
14.
# Completed Results
2
(b)
14.
Cohort Close Date
2
(b)
14.
Cohort ID Number
3
15.
(b)
15.
Cohort Name
2
(b)
15.
# Completed Results
2
(b)
15.
Cohort Close Date
2
(b)
15.
Cohort ID Number
3
16.
(b)
16.
Cohort Name
2
(b)
16.
# Completed Results
2
(b)
16.
Cohort Close Date
2
(b)
16.
Cohort ID Number
3
17.
(b)
17.
Cohort Name
2
(b)
17.
# Completed Results
2
(b)
17.
Cohort Close Date
2
(b)
17.
Cohort ID Number
3
18.
(b)
18.
Cohort Name
2
(b)
18.
# Completed Results
2
(b)
18.
Cohort Close Date
2
(b)
18.
Cohort ID Number
3
19.
(b)
19.
Cohort Name
2
(b)
19.
# Completed Results
2
(b)
19.
Cohort Close Date
2
(b)
19.
Cohort ID Number
3
20.
(b)
20.
Cohort Name
2
(b)
20.
# Completed Results
2
(b)
20.
Cohort Close Date
2
(b)
20.
Cohort ID Number
3
2
Cohort Name, # Completed Results, and Cohort Close Date
can be located in ETS Program Workshop under ETS Proficiency Profile -->Cohorts. Select the Closed Cohort tab and copy and paste the required information into the form above.
3
Cohort Number (DB ID)
can be located by hovering your mouse over the cohort name on the Closed Cohort tab.
All fields above must be completed in order to ensure that a cohort is included.
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