College Clep Application (Page 4 of 4) in pdf

Nassau Community College CLEP Application

Mail Application and Check to: NCC‐, Office of Lifelong Learning, CLEP

DEPARTMENT, One Education Drive, Garden City, New York, 11530 – Phone # (516)572‐9947

Please fill out a separate application for each exam

Name (please print)

Last

First

Sex: M F

Street Address

City, ST, ZIP Code

Birth Date

Daytime Phone #

Cell Phone #

choice

Test dates

(indicate session if applicable)

Email address

Signature

Nassau ID (required for NCC students only)

Have you previously tested or taken a course at NCC?

N00

Test Information **

Students w/ documented disabilities: Please check box and contact office for approval and scheduling

Examination in which you are registering?

___ Algebra, College

___ Financial Accounting

___ Natural Sciences

___ American Government

___ French Language

___ Psychology, Introductory

___ American Literature*

___ German Language

___ Social Sciences and History

___ Analyzing & Interpreting Lit*

___ Mathematics, College

___ Sociology, Introductory

___ Biology

___ Calculus

___ Spanish Language

___ Business Law, Introduction

___ Pre-calculus

___ Western Civilization I: Ancient Near East

___ Chemistry

___ Humanities

___ Western Civilization II: 1648 to present

___ Educational Psych, Introduction

___ Macroeconomics, Principles of

___ History of the US I: Early Colonization to 1877

___ College Composition Modular*

___ Management, Principles of

___ History of the US II: 1865 to present

___ College Composition

___ Marketing, Principles of

___ Information Systems & Computer Applications

___ English Literature*

___ Microeconomics, Principles of

___ Human Growth and Development

*Optional essays are available for these examinations. Please check with your institution to see if an essay is required. If optional

essay is required contact our office for additional fee information.

Fees

One check, payable to NCC for $45. Payment to College Board, on-line in advance, typically $80. If you are taking an

exam with an optional essay, please contact the office at (516)572-9947 or clep@ncc.edu. You must pay for all exams in advance

by personal check or money order. Do not combine fees for multiple tests even if they are to be taken on the same day. CLEP

exams and optional essays are free to eligible military personnel, with proper ID. Military Personnel are required to pay the

administration fee of $45 to NCC. The $45 fee is non-refundable and non-transferable. EFFECTIVE JANUARY 1, 2015 THE FEE

IS $45

CLEP Test Center Admission Form

Complete the questions below. Do bring with you on the test day: One form of government issued photo identification. DO NOT bring food, drink,

books, papers, or any electronic devices.

1) Signature

2) Birth Date

3) Sex:

4) Score Recipient: Name, address and/or Code #

Do not write in this space

Report at: Time: Date: Location: Bldg: Room #:

Signature of Administrator

Contact Phone Number

8/17/2015

College Clep Application Page 4

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