General Education Assessment Registration Form

This form must be completed at least two business days before your priority registration time for the Fall 2013 semester to guarantee that the registration hold is removed in time.  Please call 465-2221 if you need to change your test date or address. Do not submit another registration.

Please complete the information below. You will be sent a final confirmation notice with date, time, and room assignment in early August. Please use the address that will be valid in early August! (e.g., likely your home address vs. your local address if you are 'home' over the summer).

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! Omit any apostrophe in your name or address or the form will not submit!

First Name
Last Name (omit ' if your name,address includes it)
Mailing Address & Apt # (where you'll be living in early August!)
City
State (abbreviation)
Zip/Postal Code
Student ID Number (last 9 digits only)
Preferred e-mail

2.  REQUIRED Testing Session. 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.    Students with documented disabilities: Do you need special testing accommodations?
   Yes
   No

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

Please understand that you will be held responsible for "acceptable participation" in a Testing Session.

Acceptable participation in a Testing Session = at least 60 minutes spent on the multiple-choice test and completion of all the questions in the two subject areas you will be assigned.