College BASE
Registration Form
Test Dates,
Location, and Fee:
ALL tests are given on Saturday.
Test is given in Room
229
Fee: $45.00 - Due on the
date of testing!
Registration
Deadline: Test Date: Please circle
date you are choosing
September 14, 2005 September
24, 2005
November 21,
2005 December
3, 2005
January 18,
2006 January 28, 2006
March 15,
2006 March 25, 2006
June 7,
2006 June 17, 2006
Name:
(last) (first) (m.i.)
College
Mail Box # College
Phone Ext. # E-mail:
Address:
(house
number & street - apt. number; P. O.
Box number; rural route)
(city) (state) (zip code)
Phone: ( ) Federal I.D. No. (SS#):
Testing Information
Are
you registering to take the complete test?
Yes No
If
“No”, which part(s) are you registering to take?
English & Writing Mathematics _______
Science
Social Studies _______
Please note:
If you are taking the entire test or
the English subject area you should be there no later than 7:45 a.m.
If you are taking just subject area
exams you should be there by 8:45 a.m.