March 2010 Registration

Registrations are accepted from 12/07/2009 to 01/22/2010
On-line registration will be open for testing administrators the week of testing: March 01 - March 05, 2010.
If you have any questions about registering, call (toll-free) 800-252-9186 between 9:00 A.M. and 5:30 P.M.CT Monday - Friday or contact a high school counselor.
1 NAME Enter your complete name in the boxes provided, beginning with your last name.
If you have changed your name since you last took the exit level test, call
800-252-9186

*LAST *FIRST MI
Have you ever tested under any other last name? If so, what was it?
LAST
2 SEX Select the appropriate item.
*MALE or FEMALE must be selected
MALE FEMALE
3 MAILING
ADDRESS
Enter your complete address in the boxes provided. This is where your admission letter and test results will be sent. Be sure that your mailing address is complete and accurate so that you will receive your test results. If you live outside the US, contact 800-252-9186 for address information.
*STREET OR P.O. Box APT.#
*CITY *STATE *ZIP
4 DATE OF
BIRTH
In the boxes provided enter the number that corresponds to the month, day, and year of your birth. If the month or day has one number, fill in a zero before the number. For example, a person born on March 9, 1980, would enter:
03 09 80
Month Day Year

Enter your birth date in the following boxes.
*Month *Day *Year
5 TELEPHONE
NUMBERS
Enter your daytime and evening phone numbers.
*One OR the other OR both must be entered.
Daytime () -
Area Code
Evening () -
Area Code
6 TESTING
LOCATION
*Select the desired test location or enter the 9 digit site number if known.

- -

  

The Out-of-School Test Site Directory (opens a new browser window) lists site locations, testing times, alternate test dates and phone numbers.
A

STUDENT-ID
(PEIMS number)


 

TEST
Your PEIMS number is your Social Security Number or the number that can be found on the report from your last TAKS exit level test administration. Enter your PEIMS number in the boxes provided. If you do NOT know your PEIMS number, call 800-252-9186.
- -
Check the appropriate box(es) to indicate which test(s) you need to take.
TAKS EXIT LEVEL SOCIAL STUDIES (retest)
Administered ONLY on 03/01/2010
TAKS EXIT LEVEL ELA (retest)
Administered ONLY on 03/03/2010
TAKS EXIT LEVEL MATHEMATICS (retest)
Administered ONLY on 03/04/2010
TAKS EXIT LEVEL SCIENCE (retest)
Administered ONLY on 03/05/2010
TAKS EXIT LEVEL ELA WRITING (FORMER TAAS EXAMINEES ONLY)
Administered ONLY on 03/03/2010
TAKS EXIT LEVEL ELA READING (FORMER TAAS EXAMINEES ONLY)
Administered ONLY on 03/05/2010
7 CORRESPONDENCE
PROGRAMS
If you are enrolled in a correspondence program, select the appropriate button to indicate in which correspondence program you are enrolled.
Texas Tech University High School Diploma Program
University of Texas High School Diploma Program
Reset Correspondence Program Selection
8 SIGNATURE Not Required.
If you need a large-print test booklet, please call Pearson's
Austin Operations Center at 800-252-9186


Electronic registration must be completed by 01/22/2010.

Print and keep the information presented on the next page. You will receive verification of your registration in the mail within four weeks. Please bring your proof of registration letter with you to the test. If you do not receive a proof of registration letter, please DO NOT register again.
Call 800-252-9186 for registration assistance.

Registration is closed.

Note: After you review your registration information on the next page you must select the
Save button to complete the registration process.


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