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Home > Businesses & Community > Workforce Development > Alexandria > Specialized Services > Test Registration Form

Test Registration Form

First Name: M.I.: Last Name:
Birth Date (mm/dd/yy):
Current Daytime Telephone: E-mail:

Current Street Address:
City: State: Zip:

Students with documented disabilities: Check here if you need testing accommodations. Be sure to contact your test center to make the necessary arrangements before the test day.

Desired Test Date (mm/dd/yy):
Test Name (please check on the second page of TEST REGISTRATION FORM:
Examination for which you are registering (choose one):

CLEP Test Fees:

$75.00 NOVA Testing Fee Cash only, exact change please.

$80.00CLEP Testing Fee. This fee must be prepaid via MyAccount https://clepportal.collegeboard.org/myaccount

DSST Test Fees:

$75.00 NOVA Testing Fee Cash only, exact change please.

$80.00 DSST Testing Fee. This fee may be paid by credit card on the day of the exam.

Method of Payment to DSST (check one):

 

Proctored Test Fees:

$75.00 NOVA Testing Fee Cash only, exact change please.

Active Duty Military Only Pay the Discounted NVCC Testing fee of $20 (cash only) for CLEP & DSST.

Two forms of valid identification are to be presented on test day. The primary form must be a government-issued photo ID with signature, such as a passport, state-issued driver's license, or state-issued ID card. Secondary form of ID must have a photo or signature, such as a social security card, student ID, or employee ID. If you fail to present appropriate ID, you will not be tested.

To receive college credit by examination I understand I must meet certain eligibility requirements. I am responsible for verification of my eligibility for credit by examination. I hereby acknowledge that I meet all current eligibility requirements for credit by examination as explained by my academic advisor and/or the policies of the institution to which I am seeking credit.

I have read and understand all of the conditions required to take this examination. I understand and agree that the testing fee(s) is not refundable. Therefore, I agree to not hold Northern Virginia Community College responsible for the refund of any testing fees and shall make no request for test fee refund(s), whether credit is granted or not.


Signature (Please type your full name)

Parent/guardian signature (if under 18)

Date (mm/dd/yy)

Date (mm/dd/yy)

A confirmation of your testing appointment will be sent to you by email.  In the event the requested time is unavailable you will be contacted by the test proctor to set up an alternate time. Please do not arrive for testing until your appointment has been confirmed.

*This form will remain on file in the Office of Workforce Development & Continuing Education, Alexandria with test application materials.