Form

Use a soft-lead No. 2 pencil only. Print the requested information in the boxes for each item. Be sure to fill in the corresponding oval for each letter or number you enter. Erase errors completely.

WEDNESDAY, October 13, 2010

Enter your full name, including your middle initial if you have one. If you have a hyphen in your name, fill in the hyphen oval at the bottom of the column. Omit apostrophes, Jr., or III. Last Name (Family Name) - first 15 letters MI First Name - first 12 letters

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Month
Jan.
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Name 3
Day Year

The Preliminary SAT/National Merit Scholarship Qualifying Test is cosponsored by the College Board and National Merit Scholarship Corporation, which will receive your scores and information you provide on this answer sheet.

Date of Birth

Current Grade Level

Social Security Number

A A A B C D E F G H I J K L M N O P B C D E F G H I J K L M N O P P Q R S T U V W X Y Z 9 Z Z Z Z Z Z Z Z Z Z Z 8 8 9 Y Y Y Y Y Y Y Y Y Y Y 7 7 7 8 9 X X X X X X X X X X X 6 6 6 6 7 8 9 W W W W W W W W W W W 5 5 5 5 V V V V V V V V V V V 4 4 4 4 4 5 6 7 8 9 U U U U U U U U U U U 3 3 3 3 3 3 4 5 6 7 8 9 T T T T T T T T T T T 2 2 2 2 2 2 S S S S S S S S S S S 1 1 1 1 1 1 R R R R R R R R R R R 0 0 0 0 0 0 Q Q Q Q Q Q Q Q Q Q P P P P P P P P P P O O O O O O O O O O O N N N N N N N N N N N M M M M M M M M M M M L L L L L L L L L L L K K K K K K K K K K K J J J J J J J J J J J I I I I I I I I I I I H H H H H H H H H H H G G G G G G G G G G G F F F F F F F F F F F E E E E E E E E E E E D D D D D D D D D D D C C C C C C C C C C C B B B B B B B B B B B A A A A A A A A A A A B C D E F G H I J K L M N O P Q Q R S T U V W X Y Z Q R S T U V W X Y Z Z Z Y Y X X W W V V U U T T S S R R Q Q P P O O N N M M L L K K J J I I H H G G F F E E D D C C B B

Feb. Mar.

12th grade 11th grade 10th grade 9th grade 8th grade Not yet in 8th grade Other

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Female
April May June July

Male
Aug. Sept. Oct. Nov. Dec.

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

6 School
6a. Your School Code
School Name Street City

Your score report will be sent to the school you regularly attend.
6b. Print the name and address of the school you regularly attend.

6d. Optional Code

State

ZIP Code

1 2

1 2

6c. Are you taking this test at the school you regularly attend?
Yes No, the name and location of the school where I am taking this test is: School Name City State

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3 4 5 6 7 8 9

7 12
Grade Average 9

QUESTIONS TO HELP THE COLLEGE BOARD HELP YOU

Racial/Ethnic Group 10 Language Background 11 Religion 12 College Major

Student Search Service

Cumulative high school average for all academic subjects.

For ETS Use Only

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Some colleges, universities, scholarship programs and nonprofit education organizations may request information you supply on this answer sheet (including your e-mail address if you supply it) in order to provide you with materials about educational opportunities and financial aid. (97100) (9396) (9092) (8789) (8386) (8082) C+ C CD+ D E or F (7779) (7376) (7072) (6769) (6566) (below 65)

7a. Would you like us to supply your information for these purposes?

A+ A AB+ B B-

Select a code from the back of the test book.

Yes

No

American Indian or Alaska Native 10a. What language did you learn to speak first? Asian, Asian American, or Pacific Islander English only Black or African American English and another language Mexican or Mexican American Another language Puerto Rican 10b. What language do you know best? Other Hispanic, Latino, or Latin American English White English and another language about the same Other Another language
(Responses will be used only by the College Board for research and will not be included on score reports.)

7b. By providing your e-mail address in the space below, you are granting the College Board and NMSC permission to contact you via e-mail.

(Responses to questions 8 and 9 will be used by the College Board to produce reports about groups of students, to ensure that tests are fair for all groups, and to conduct research.)

Select a code from the back of the test book. (Responses will be used only by Student Search Service.) mine a parents/guardians

E-mail Include all letters, numbers, and symbols. This e-mail is (fill in one):

755909

2010 The College Board. All rights reserved. Printed in the U.S.A.

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Make each mark a dark mark that completely fills the oval and is as dark as all your other marks. If you erase, do so completely. Incomplete erasures may be read as intended responses. MARKS MUST BE COMPLETE COMPLETE MARK EXAMPLES OF INCOMPLETE MARKS
A A B B C C D D

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CRITICAL READING 25 minutes

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B B B B B B B

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C C C C C C C

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B B B B B B B

C C C C C C C

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C C C C C C C

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MATHEMATICS 25 minutes
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Only answers entered in the ovals in each grid area will be scored. Mark only one oval in any column. You will not receive credit for anything written in the boxes above the ovals.

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WRITING SKILLS 30 minutes

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B B B B B B B B B B B B B

C C C C C C C C C C C C C

D D D D D D D D D D D D D

E E E E E E E E E E E E E

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A A A A A A A A A A A A A

B B B B B B B B B B B B B

C C C C C C C C C C C C C

D D D D D D D D D D D D D

E E E E E E E E E E E E E

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B B B B B B B B B B B B B

C C C C C C C C C C C C C

D D D D D D D D D D D D D

E E E E E E E E E E E E E

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13 14 QUESTIONS TO DETERMINE ENTRY TO NATIONAL MERIT SCHOLARSHIP CORPORATION (NMSC) PROGRAMS

NMSC conducts two nationwide scholarship competitions the National Merit Scholarship Program, which is open to all students who meet entry requirements, and the National Achievement Scholarship Program, a competition in which only Black American students participate. Answers you give in sections 1314 and your scores will be used by NMSC in designating students who qualify to continue in the 2012 National Merit Program and National Achievement Program as well as high-scoring participants to be recognized publicly.
13a. Are you enrolled as a high school student? 13c. How many years will you spend in grades 9 through 12? 13b. When will you complete or leave high school and enroll full time in college? 13d. Are you a citizen of the United States?

Yes

Yes No No 2011 2012 2013 after 2013 Not planning to attend college 4 years 3 years 2 years 1 year 5 or more years

No, but I am a U.S. lawful permanent resident (or have applied for permanent residence, the application for which has not been denied) and I intend to become a U.S. citizen at the earliest opportunity allowed by law.

14. If you are a Black American and wish to enter the National Achievement Program as well as the National Merit Program, fill in this oval.

P a g e

Your Home Mailing Address

Fit address into boxes provided. Indicate a space in address by leaving a blank box and filling in the corresponding diamond.

You must fill in the corresponding oval for each letter, number, slash mark, or hyphen. If necessary, use the address abbreviations listed in the lower right.

If your address contains a fraction, leave a blank box after the whole number, and enter the top number in the next box, a slash in the next, and the bottom number in the next (e.g., 5 1/2 5 1 / 2 ).

15
Street Address (include apartment number, if applicable) City

16

17
AL AK AZ

State
NH NJ NM

18

ZIP or Postal Code

19 Country Code

0 A A A A A A A A A

A A A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Z X Y Z W X Y Z V W X Y Z T U V W X Y Z S T U V W X Y Z R S T U V W X Y Z Q R S T U V W X Y Z O P Q R S T U V W X Y Z N O P Q R S T U V W X Y Z M N O P Q R S T U V W X Y Z K L M N O P Q R S T U V W X Y Z J K L M N O P P Q R S T U V W X Y Z F G H I J K L M N O P Q R S T U V W X Y Z 0 0 1 2 3 4 5 6 7 8 9 / 9 / 8 9 / 7 8 9 / 6 7 8 9 / 4 5 6 7 8 9 / 3 4 5 6 7 8 9 / 1 2 3 4 5 6 7 8 9 / / 9 9 8 8 8 7 7 7 7 6 6 6 6 6 5 5 5 5 5 5 4 4 4 4 4 4 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 / 0 1 2 3 4 5 6 7 8 9 E E F G H I J K L M N O P Q R S T U V W X Y Z D D D E F G H I J K L M N O P Q R S T U V W X Y Z C C C C D E F G H I J K L M N O P Q R S T U V W X Y Z B B B B A A A A B C D E F G H I J K L M N O P Q R S T U S R R Q Q Q P P P O O O O N N N N N M M M M M M L L L L L L L K K K K K K K J J J J J J J J I I I I I I I I I H H H H H H H H H G G G G G G G G G F F F F F F F F F E E E E E E E E E D D D D D D D D D C C C C C C C C C B B B B B B B B B A A A A A A A A A B C D E F G H I J K L M N O P P Q R S T U V W X Y Z Z Z Z Z Z Z Z Z Z Z Y Y Y Y Y Y Y Y Y Y Y X X X X X X X X X X X W W W W W W W W W W W W V V V V V V V V V V V V V U U U U U U U U U U U U U T T T T T T T T T T T T T S S S S S S S S S S S S S R R R R R R R R R R R R R Q Q Q Q Q Q Q Q Q Q Q Q Q P P P P P P P P P P P P P O O O O O O O O O O O O O O N N N N N N N N N N N N N N M M M M M M M M M M M M M M L L L L L L L L L L L L L L K K K K K K K K K K K K K K J J J J J J J J J J J J J J I I I I I I I I I I I I I I H H H H H H H H H H H H H H G G G G G G G G G G G G G G F F F F F F F F F F F F F F E E E E E E E E E E E E E E D D D D D D D D D D D D D D C C C C C C C C C C C C C C B B B B B B B B B B B B B B

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

AR
B C D E F G H I J K L M N O P Q R S T U V W X Y Z B C D E F G H I J K L M N O P Q R S T U V W X Y Z B C D E F G H I J K L M N O P Q R S T U V W X Y Z B C D E F G H I J K L M N O P Q R S T U V W X Y Z B C D E F G H I J K L M N O P Q R S T U V W X Y Z B C D E F G H I J K L M N O P Q R S T U V W X Y Z B C D E F G H I J K L M N O P Q R S T U V W X Y Z B C D E F G H I J K L M N O P Q R S T U V W X Y Z B C D E F G H I J K L M N O P Q R S T U V W X Y Z

NY CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY PR

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

(if you marked U.S. Ter. or Other in 17)

Print country name here.

A B C D E F G H I J A B C D E F G H I J A B C D E F G H I J A B C D E F G H I J

Abbreviations for Use in Section 15

Q
Q R S T U V W X Y Z

AA K AE L AP M U.S. N Ter.
O Other P Q R

K L M N O P Q R

K L M N O P Q R

K L M N O P Q R

20

Date and sign on test day

Month Day Year

S T

S T

S T

S T

I agree to abide by the test regulations and certify that I am the person whose name appears on this answer sheet.

U V W X

U V W X

U V W X

U V W X

Signature Name (Please print.) Home Phone Number

Y Z

Y Z

Y Z

Y Z

Apartment Avenue Boulevard Circle Court Drive East Expressway First Fort Fourth Heights Highway Mount North Northeast Northwest Parkway Place Post Office Road Route Second South Southeast Southwest Square Street Terrace Third West

APT AVE BLVD CIR CT DR E EXPY 1ST FT 4TH HTS HWY MT N NE NW PKY PL PO RD RT 2ND S SE SW SQ ST TER 3RD W

21 Special

Questions

Q1

Q2