Exam Cut Score Tracking Form
Document and review cut score determinations for exams with input from panelists and supporting details.
Exam Title
*
Exam Date
*
-
Month
-
Day
Year
Date
Exam Type
*
Please Select
Certification
Licensure
Placement
Formative Assessment
Summative Assessment
Other
Panelist/Evaluator Name
*
Panelist Role
*
Please Select
Subject Matter Expert
Psychometrician
Facilitator
Other
Standard Setting Method Used
*
Please Select
Angoff
Bookmark
Ebel
Contrasting Groups
Other
Panelist Ratings for Cut Score Determination
*
Rows
Recommended Cut Score (%)
Confidence Level (1-5)
Panelist 1
Panelist 2
Panelist 3
Panelist 4
Panelist 5
Panelist Rationale/Comments
Final Recommended Cut Score (%)
*
Supporting Documentation (e.g., meeting notes, reference materials)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Was consensus reached on the cut score?
*
Yes
No
Additional Notes or Observations
Submit Cut Score Record
Should be Empty: