Edinboro University of Pennsylvania
College-Level Examination Program (CLEP) Registration Form
Registration form must be received two weeks prior to the exam date. Form can be mailed, emailed, faxed, or dropped off at:
The Academic Success Center, 200 Tartan Road, Baron-Forness Library, 2nd Floor, Edinboro, PA 16444
success@edinboro.edu; Fax: (814) 732-2210
1. First Name
4. Birth Date
/
/
7. E-mail Address
2. M.I.
5. Telephone Number
(
)
-
9. City
3. Last Name
6.
Student ID (if you are an Edinboro Student)
@
8. Street Address
10. State
11. Zip
12. Students with documented disabilities: ! Check here if you need testing accommodations. Be sure to contact the
Academic Success Center to make the necessary arrangements before the exam date.
13. Exam Date:
/
/
14. Examination for which you are registering:
q American Government
q American Literature
q Analyzing & Interpreting Literature
q Biology
q Business Law, Introductory
q Calculus
q Chemistry
q College Algebra
q College Composition
q College Composition Modular
q College Mathematics
q Educational Psychology, Intro. to
q English Literature
q Financial Accounting
q French Language
q German Language
q History of the U.S. I: Early Colonization
q History of the U.S. II: 1865 to the Present
q Human Growth & Development
q Humanities
q Info. Systems & Computer Applications
q Macroeconomics, Principles of
q Management, Principles of
q Marketing, Principles of
q Microeconomics, Principles of
q Natural Sciences
q Pre-Calculus
q Psychology, Introductory
q Social Sciences & History
q Sociology, Introductory
q Spanish Language
q Western Civilization I
q Western Civilization II
are repeating this exam. Remember, you must
wait three months before
15. Repeating Exams: ! Check here if you
repeating an examination.
Question 16, 17 and 18 are for Edinboro University students only.
16. Are you in a provisional admittance program such as Fresh Start or AEP? ! Yes
! No
17. Are you currently enrolled or have you previously received a letter grade for this class? ! Yes ! No
PLEASE NOTE: You cannot take a CLEP exam and receive credit for a course in which you are currently enrolled
and/or have previously received a letter grade (including, but not limited to, an F, W, AU, or I).
18. Please state how you learned about CLEP exams:
19. Fees: The fee for each CLEP exam is $80 payable to CLEP and $25 payable to Edinboro University. You must pay
the $80 to CLEP via the CLEP website (www.collegeboard.com/clep) prior to taking the exam. Further instructions
will be emailed to you once this registration form is received by Edinboro University’s Office of Adult Student
Services. The $25 fee to Edinboro University will be posted to your student account at the time of registration. If you
are not an Edinboro student, the $25 fee to Edinboro University can be paid by check or money order, and is due at
the time of registration. The $25 fee is non-refundable.
20. I understand that the $25 payable to Edinboro University is non-refundable and will be posted to my student account
at the time of registration (Edinboro students) or is due at the time of registration (non-Edinboro students). I also
understand that the registration form is due two weeks prior to the exam date listed in question #13.
Student Signature
Date