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Nys Ged 19o Attch A
Nys Ged 19o Attch A
ATTACHMENTA
APPLICATIONFORGEDTESTING
Mailorbringthisapplicationtoalocaltestcenter. DonotsendittotheNYSEDGEDTestingOffice.
CandidateInformation
1.SocialSecurityNumber
PLEASEPRINTCLEARLYININK
2.PreparationProgramName(ifapplicable) PreparationProgramCode
FirstName
7.DateofBirth
8.Age
q
MonthDayYear
EnglishFrenchSpanish
q q q CityState
11.NameofLastHighSchoolAttendedAddress
PreviousTestInformation
12.HaveyoupreviouslytakentheGEDtest inNewYorkState? 13.Whatnamedidyouuseatthattest? _______________________________________________________________ LastNameFirstNameMiddleInitial 15.TestCenter&Location 16.Date(s)&Year(s) 17.Form(s)ofTest(s)Taken o YES o NO IfYES,completeitems1317. IfNO,gotoitem18.
14.IdentificationNumberUsed
20. Areyouapplyingforaccommodationstotheprocedures If"YES"andthisofficehas alreadyauthorized foradministering theGED testbecauseofadisability? o NO oYESaccommodationsforyou,encloseacopy (Ifno,gotoitem21) oftheapprovalletterwithyourapplication. If "YES and this office has not already authorized accommodations, you must visit the NYS GED Website at: www.acces.nysed.gov/ged/accomodations.html Followthedirectionsforsubmittingarequestfortestingaccommodations.
Att.A(cont'd)
EligibilityInformation
21.Areyou19yearsofageorolder? If"YES,"gotoitem23. o o YES NO If NO, go to item 22. You must obtain the appropriate documentation and include the appropriate attachment with this applicationidentifyingtheeligibilitycriteriayoumeet.(B2B 9,C2,C3)
B2
Oneyearhaspassedsinceyouwerelastlegallyabletoleavehighschoolandenrolledinafull timehighschoolprogramofinstruction or B3 Youwereamemberofahighschoolclassthathasalreadygraduated or B4/C2YouareenrolledinanApprovedAlternativeHighSchoolEquivalencyPreparation Program or B5/C3YouhavebeenacceptedintotheU.S.ArmedForces,oryouhavebeenacceptedintoacollege, universityoraccreditedpostsecondaryinstitutionor B6 YouhavebeenamemberoftheJobCorpsforaperiodofatleastsix(6)months or B7 Youareincarcerated/institutionalized or B8 Youareanadjudicatedyouthunderthedirectionofaprison,jail,detentioncenter,paroleor probationofficer. B9 Youareatleast17andhavebeenhomeschooled.
*Underthiseligibilitysuccessful candidateswillonlyreceiveapassingtranscript,notadiploma.
CANDIDATESIGNATURE_______________________________________DATE________________ PermissionofParent/Guardian(ifcandidateisunder18)
24. BysigningbelowIamverifyingthattheinformationonthisapplicationistrue.Inaddition,Igivepermissionformy son/daughter(circleone)named____________________________________,totaketheGEDtest.
PARENTSIGNATURE___________________________________________DATE_______________