"Kentucky State-Required Assessments Nondisclosure Agreement Form" - Kentucky

Kentucky State-Required Assessments Nondisclosure Agreement Form is a legal document that was released by the Kentucky Department of Education - a government authority operating within Kentucky.

Form Details:

  • Released on August 4, 2021;
  • The latest edition currently provided by the Kentucky Department of Education;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Kentucky Department of Education.

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Kentucky State-Required Assessments Nondisclosure Agreement Form
State-required student assessments provided by the Kentucky Department of Education (KDE) or
optional assessments reported in state accountability are considered secure materials. The system
design requires that all items (test questions, writing prompts, attainment tasks and transition
attainment record items) remain secure. To protect the security of the tests, only authorized
persons are permitted to view the test questions. With the exception of items released by KDE
with official assessment and accountability reports, test questions, draft or final, and all supporting
assessment materials or notes are to be regarded as secure documents. Thus, they may not be
reproduced, discussed, or in any way released or distributed to unauthorized personnel. All
individuals must annually sign this form committing to nondisclosure of information and to
following appropriate practices as outlined in the Administration Code for Kentucky’s Education
Assessment Program (703 KAR 5:080).
Any reports or other communications based on the authorized use of secure assessment
materials must be reviewed by the Office of Assessment and Accountability (OAA) or its
designated agent prior to distribution or dissemination by the user. Permission for authorized use
of assessment and accountability materials may be granted by the Office of Assessment and
Accountability (OAA), provided the user agrees to abide by the terms stated herein.
The undersigned is an employee, contractor, technical staff, consultant, advisory committee
member or person otherwise authorized to view material associated with assessment and
accountability, and hereby agrees to be bound to the terms of this agreement restricting the
disclosure of said materials.
Name (printed): _________________________________________________________________
Signature: _____________________________________________________________________
Date: _______________________________________________
KDE:OAA:DAAS:Nondisclosure:jb:08/04/2021
Kentucky State-Required Assessments Nondisclosure Agreement Form
State-required student assessments provided by the Kentucky Department of Education (KDE) or
optional assessments reported in state accountability are considered secure materials. The system
design requires that all items (test questions, writing prompts, attainment tasks and transition
attainment record items) remain secure. To protect the security of the tests, only authorized
persons are permitted to view the test questions. With the exception of items released by KDE
with official assessment and accountability reports, test questions, draft or final, and all supporting
assessment materials or notes are to be regarded as secure documents. Thus, they may not be
reproduced, discussed, or in any way released or distributed to unauthorized personnel. All
individuals must annually sign this form committing to nondisclosure of information and to
following appropriate practices as outlined in the Administration Code for Kentucky’s Education
Assessment Program (703 KAR 5:080).
Any reports or other communications based on the authorized use of secure assessment
materials must be reviewed by the Office of Assessment and Accountability (OAA) or its
designated agent prior to distribution or dissemination by the user. Permission for authorized use
of assessment and accountability materials may be granted by the Office of Assessment and
Accountability (OAA), provided the user agrees to abide by the terms stated herein.
The undersigned is an employee, contractor, technical staff, consultant, advisory committee
member or person otherwise authorized to view material associated with assessment and
accountability, and hereby agrees to be bound to the terms of this agreement restricting the
disclosure of said materials.
Name (printed): _________________________________________________________________
Signature: _____________________________________________________________________
Date: _______________________________________________
KDE:OAA:DAAS:Nondisclosure:jb:08/04/2021