ACT Sample Test Answer Sheet

PAGE 2
BOOKLET NUMBER

FORM

BE SURE TO FILL IN THE CORRECT FORM OVAL.

66E
65A
62E
66F
65B
62F
56C
NAME:
__________________________________________________
1
66G
65C
63A
56E
Print your
2
67A
65D
63B
58A
3-character
3
90Z
65E
63C
59A
DATE:
__________________
Test Form in
4
91Z
65F
63D
60A
the boxes
5
93Z
66A
63E
60D
above
and
FORM
CODE: ______________
6
94Z
66B
63F
62A
fill in the
7
95Z
66C
64B
62C
corresponding
8
96Z
66D
64E
62D
oval at the
53B
0359F

Marking Directions: Mark only one oval for

each question. Fill in response completely.
Erase errors cleanly without smudging.

1
2
3

Correct mark:

Do NOT use these incorrect or bad marks.

Incorrect marks:
Overlapping mark:
Cross-out mark:
Smudged erasure:
Mark is too light:

1
2

1
2

1
2

1
2

3
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3
4

5
6

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7

5
6

5
6

7
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5
6
7

9
0

9
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9
0

27
28
29
30
31
32
33
34
35
36
37
38
39

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F
A

B
G
B

C
H
C

D
J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

21
22
23
24
25
26
27
28
29
30

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

7
8
9
0

8
9
0

9
0

right.

TEST 1
1
2
3
4
5
6
7
8
9
10
11
12
13

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F
A

B
G
B

C
H
C

D
J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

14
15
16
17
18
19
20
21
22
23
24
25
26

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

40
41
42
43
44
45
46
47
48
49
50
51
52

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

53
54
55
56
57
58
59
60
61
62
63
64
65

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

A
F
A

B
G
B

C
H
C

D
J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

41
42
43
44
45
46
47
48
49
50

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

66
67
68
69
70
71
72
73
74
75

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

F
A
F

G
B
G

H
C
H

J
D
J

51
52
53
54
55
56
57
58
59
60

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

36
37
38
39
40

F
A
F
A
F

G
B
G
B
G

H
C
H
C
H

J
D
J
D
J

TEST 2
1
2
3
4
5
6
7
8
9
10

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

11
12
13
14
15
16
17
18
19
20

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

8
9
10
11
12
13
14

F
A
F
A
F
A
F

G
B
G
B
G
B
G

H
C
H
C
H
C
H

J
D
J
D
J
D
J

15
16
17
18
19
20
21

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

15
16
17
18
19
20
21

F
A

G
B

H
C

J
D

F
A
F
A

G
B
G
B

H
C
H
C

J
D
J
D

31
32
33
34
35
36
37
38
39
40

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

F
A

G
B

H
C

J
D

K
E

22
23
24
25
26
27
28

F
A
F
A
F
A
F

G
B
G
B
G
B
G

H
C
H
C
H
C
H

J
D
J
D
J
D
J

29
30
31
32
33
34
35

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

29
30
31
32
33
34
35

F
A

G
B

H
C

J
D

F
A
F
A

G
B
G
B

H
C
H
C

J
D
J
D

TEST 3
1
2
3
4
5
6
7

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

F
A

G
B

H
C

J
D

TEST 4
1
2
3
4
5
6
7

F
A

G
B

H
C

J
D

F
A
F
A

G
B
G
B

H
C
H
C

J
D
J
D

8
9
10
11
12
13
14

A
F

B
G

C
H

D
J

A
F
A
F

B
G
B
G

C
H
C
H

D
J
D
J

22
23
24
25
26
27
28

A
F

B
G

C
H

D
J

A
F
A
F

B
G
B
G

C
H
C
H

D
J
D
J

36
37
38
39
40

A
F

B
G

C
H

D
J

A
F

B
G

C
H

D
J

ACT STUDENT REVIEW AND SIGNATURE: The test supervisor will give you instructions for completing these sections.
EXAMINEE STATEMENT AND SIGNATURE
optional
Writing
(Read and signSCORES
your namewith
as you
would an
official document.)

Student Review: Your responses to these items will assist ACT

and your test center in providing the best possible conditions for
testing and planning for the future. Fill in the oval indicating your
SCORES
response to each item printed on the back of your test booklet.

I hereby agree to the conditions set forth in the ACT registration

booklet
or English:
website instructions
this exam,
including the
!
! ______! for _____
percentile
arbitration and dispute remedy provisions. I certify that I am the
person
name and
address appear
on this
form.

whose
Writing:
! ______!
_____
percentile

English/Writing: !______!

_____ percentile

SignatureMath: ! ______!
Your
! Signature

_____ percentile

! s Date
Reading: ! ______!
Todays
Today

_____ percentile

Science: ! ______!

_____ percentile

! Composite: ! ______!

_____ percentile

No
Yes
No_____ percentile
Yes
! Yes English:
! ______!
1
2!
3
4!
5

6
Math: ! ______!
7
8
Reading: ! ______!
9
10

11
_____ percentile
12
13
_____ percentile
14
15

! Composite: ! ______!

_____ percentile

74

Science: ! ______!

_____ percentile

No