|
First Name:
[required] |
Last
Name:
[required] |
Student
ID Number
[required] |
| Address:
[required] |
Student
E-Mail Account:
|
|
| City:
[required] |
State:
[required] |
Zip:
[required] |
| Home Phone:
[required] |
Work Phone:
|
Transient
Student: Yes:
No:
|
Students
will be allowed to take the Regents' Test Writing and Reading beginning
Spring 2008 Semester without finishing English 1101. This will give
you every opportunity to pass both sections prior to your graduation. |
| STUDENT
COMMITMENT: |
| 1.
I understand that it is my responsibility to turn in or submit this
completed form to Student Services by the Regents’ Test Registration
deadline in order to assure testing. (Deadline is: Friday, February
19, 2010 at 12:00 Noon) |
| 2.
If I do not pass one or both portions of the Test, I may be required
to take the appropriate Regents’ Test prep course(s). |
I
WOULD LIKE TO TEST AT THIS TIME: |
I
NEED THIS TEST: |
(check one selection in each column) |
|
Tuesday, March 9, 2010 at 9:00 a.m. Please
note, the 9:00 a.m. time slot has closed.
|
Regents'
Reading and Writing |
|
Tuesday, March 9, 2010 at 1:00 p.m. |
Regents'
Reading Only |
|
Tuesday, March 9, 2010 at 5:00 p.m. |
Regents'
Writing Only |
| 6.
If you have a documented disability, you may request consideration
for extended time. (Extended time will only be offered at 9 a.m. and
1 p.m.) Please contact Student Services at
912-449-7600, if you meet this criteria and need this accommodation. |
| 7.
I certify that the above information is correct and accurate to the
best of my knowledge. I certify that I am a first time tester
for the Regents' Test. |
| By
submitting this document you are stating that the information you are
sending is truthful and accurate. |