SAT Score Recognition Request Form

Juniors and Seniors:

Do you have SAT scores that total 1650 or above?? Do you want to be recognized at the Academic Awards program, get a free shirt, and be named on a permanent plaque at Laney?? If so, please fill out this form and submit it to Mrs. Williams in guidance with a copy of your scores.

Name of Student _______________________________________________

Last First Middle

Highest SATI Critical Reading Score _____________ Test date __________

Highest SATI Math Score ______________________ Test date _________

Highest Writing Test Score _____________________ Test date _________

Combined total of highest verbal, math, and writing scores ______________

(Combined total must be 1650 or higher)

Please attach a copy of your SAT scores to this form and return to Mrs. Williams in the guidance office no later than March 16, 2007 . You can obtain a copy online at www.collegeboard.com/sat/html/sat_scores.html.

Yes, I wish to be recognized for my SAT scores at the Academic Awards Night to be held on Thursday, April 26. I also wish to receive the SAT 1650+ shirt and to have my name placed on the permanent SAT recognition plaque at Laney High School.

Signature of student _____________________________________________

Signature of parent if student is under 18 ____________________________