General Education Assessment Registration Form

This form must be completed at least two business days before your priority registration time for the Spring 2009 semester to guarantee that the registration hold is removed in time. Please call 465-2221 if you need to change your test date.

Please complete the information below. You will be sent a final confirmation notice with date, time, and room assignment, in mid December. Please use the address that will be valid in mid/late December (e.g., your home address vs. your local address).

Do NOT use the "Enter" key to navigate this form. Instead, use the "Tab" key.

Please provide the following. All requested information must be submitted.

1. Contact Information- please use correct punctuation/capitalize as this info is used for the mailing

First Name
Last Name
Street Address
City
State (abbreviation)
Zip/Postal Code
Student ID Number (last 7 digits only)
Preferred e-mail

2. REQUIRED Testing Session (minimum score of 300 of a possible 560 required to earn the free credit). Please note: If you choose the last test date and you can not make it, you will need to attend the make-up session and pay $30; whereas if you pick a prior date and miss it, you'll have another opportunity to attend a future "free" test date.

3. Do you want a notation on your official transcript that describes your test performance?
Yes
No

4. Students with documented disabilities: Do you need special testing accommodations?
Yes
No

5. Are you a Bellin student currently attending Bellin College of Nursing?
Yes
No

6. Please know that you can change your decision on item #3. Also, please understand that you will be held responsible for "acceptable participation" in a Testing Session.

Acceptable participation in a Testing Session = at least 70 minutes spent on the multiple-choice test and completion of at least 30 percent of the questions in each of the test's four subject areas.