Center for Preprofessional Education ♦ Howard University, College of Arts & Sciences
2225 Georgia Avenue, NW, #518 ♦ Washington, DC 20059
Phone: (202) 238-2363 ♦ Email: preprofessional@howard.edu
2009 REGISTRATION FORM (At our Website: Click, type, print and SIGN then bring to Center)
MCAT:
Feb 2 – April 15 (M/W + T 2/17)
June 17 – July 22 (M/T/W/R)
GMAT:
February 17 – April 14 (Tues)
September 23 – November 18 (Wed)
GRE:
February 19 – April 16 (Thurs)
September 22 – November 10 (Tues)
LSAT
Mar 28 – April 22 (M/W+Tests 3 Sat)
October 31 – December 2 (Mon/Wed +T 12/1 + 2 Sat)
DAT:
Independent Study – TopScore Pro® Software & Study Guide for the DAT by ScholarWare, Inc.
3-5:30pm
7:30-10pm
Discount/Free Test Preparation Classes and/or Materials. Seat guaranteed when paid in full. Full refund for
written withdrawals received by close of business the day after the first class. No refunds thereafter.
By signing here __________________________ I give permission for ALL my Diagnostic Score
Reports to be released to The Center for Preprofessional Education as tools for advising. I also allow
the Center to provide performance statistics (no names) to sponsors who subsidize my Test Prep fees.
1. Name:
2. Last 5 Digits of Social Sec. #:
Last,
3. Gender:
First
Male
Middle Initial
Female
4. Howard University ID:
5. Date of Birth:
7. a. U.S. Citizen:
6. Place of Birth
Yes
b. Permanent Resident:
No If yes, b and c do not apply
Yes
No
c. Type of Visa
8. Mailing Address - Current
9. Telephone: (current) ___________________
(permanent) __________________
(mobile)
10. E-Mail Address (This is how we communicate with you):
11. Student Status (year): CHECK/CLICK ONE
Junior
Senior
12. Were you referred by a Campus Organization, Department or Club?
13. In case of emergency, contact: CHECK/CLICK ONE
Parent
Transfer
Yes
Other
No
Guardian
Spouse
Friend
Name
Telephone: (home) _____________________
(work) ____________________
(mobile)
14. Please record your grades below (indicate if you are currently taking course OR semester you plan to take the course):
(MCAT/DAT ONLY)
General Biology I
Grade ____
General Biology II
Grade ____
(MCAT/DAT ONLY)
General Chemistry I
Grade ____
General Chemistry II
Grade ____
(MCAT/DAT ONLY)
Organic Chemistry I
Grade ____
Organic Chemistry II
Grade ____
(MCAT ONLY)
General Physics I
Grade ____
General Physics II
Grade ____
15. Have you ever taken this test OR Test Preparation Class at Howard before?
Date ____________
Yes [List Date(s) & Scores]
No
Scores:
1/24/08