First Name

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Address

City

State
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Zip

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Please select Testing Dates from below.

Indicate your preference by typing “1” next to your first choice; “2” for your second choice.

December 5, 2009    

January 23, 2009

Student Status:

Current WCSU Student

        ID#             

Non- WCSU Student
                               
Check here if you are a member of the United States Armed Forces
                               
Students with documented disabilities, check here if you require accommodations.
        Please contact 203-837-8877 for documentation requirements.

Test Registration:

Space is reserved as payment is received. You may only take three exams per day.

Please mail Check, Money Order, or Credit Card Authorization to:

Western Connecticut State University
Attn: Academic Testing Center, OM 206
181 White Street
Danbury, CT 06810

Miller Analogies Test (MAT), $90.00 payable to WCSU

CLEP, Administration Fee payable to WCSU: $25.00 WCSU Students
                                                                               $40.00 Non-WCSU Student

        Exam Fee payable to College Board: $72.00 per exam (check or credit card payable on exam day)
        English Composition with Essay Fee payable to College Board: $10.00 additional (check or credit card payable on exam day)

Type of test

Select up to three