Application For Ged Testing Form Page 2
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1
2Eligibility Information
14. Are you 19 years of age or older?
YES
NO
If “NO” you must attach to this application an appropriate
letter identifying which eligibility criteria you meet (see below for
list)
Eligibility for persons under the age of 19 only
Please darken ONLY ONE eligibility category you meet and attach documentation
!
A.
One year has passed since you were last enrolled in a full-time high school Program of Instruction, or
!
B.
You were a member of a high school class that has already graduated, or
!
C.
You are enrolled in an approved alternative high school equivalency program, or
!
D.
You have been accepted into the U.S. military, or
!
E.
You have been accepted into a college, or
!
F.
You are incarcerated/institutionalized, or
!
G.
You are a member of the Job Corps.
Permission to Release GED Test Scores
YES
NO
I give my permission to have my test results/scores given to my GED preparation
15.
program/test center listed on this application.
CANDIDATE SIGNATURE __________________________________________ DATE _______________
PARENT SIGNATURE ______________________________________________ DATE _______________
(If candidate is under 18)
I understand that my eligibility for GED testing will be determined based on the information provided on this
16.
application and on any enclosed letters. If any of this information is incorrect, and, based on my prior testing
record, it is subsequently determined that I did not meet the eligibility requirements on the date that the test
session began, I understand that my test will not be scored.
I do hereby certify, subject to the penalty for perjury, that the information given on this form and on any
enclosures is true to the best of my knowledge and belief.
CANDIDATE SIGNATURE __________________________________________ DATE ________________
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