EASTERN
MICHIGAN UNIVERSITY
Education First
CLEP REGISTRATION FORM
1. EMU Student #:
2. First Name (Please print) :
M.I.:
Last Name (Please print):
E
M y scores will
Not be sent to EMU
3. Signature:
4. Email Address (Use @emich.edu, if EMU student):
5. Address
Street and Apt. #:
6. Date of Birth:
/
/
City:
7. Sex:
M
8. Hair Color:
9. Eye Color:
F
State:
/
15. First Choice Test Date and Time:
/
/
10:00am
1201
17. Are you a DANTES-funded military examinee?
18. Examination for which you are registering:
Yes
11. Today’s Date:
/
/
10. Telephone - Best # to Reach You:
(
)
--
12. Students with documented disabilities: Check here if you need special testing accommodations.
Be sure to contact your test center to make the necessary arrangements before the test date.
Each test center sets its own deadlines for submission of documentation and approval of accommodations.
14. Testing Center and Code
Eastern Michigan University
Zip + 4:
1:00pm
13. Last four (4) digits of
Social Security #:
16. Second Choice Test Date and Time:
/
/
10:00am
1:00pm
No
(You must use a separate form for each exam).
Accounting, Financial
American Government
American Literature Ø
Analyzing and Interpreting Literature Ø
Biology
Business Law, Introductory
Calculus Ø
Chemistry
College Algebra
Educational Psychology, Introduction to Ø
French Language
German Language
History of the United States I:
Early Colonization to 1877
History of the United States II:
1865 to the Present
Human Growth and Development Ø
Humanities Ø
College Mathematics Ø
College Composition Ø
Information Systems and Computer
Applications
College Composition Modular ♦♦
English Literature Ø
Macroeconomics, Principles of
Management, Principles of
Ø EMU does not accept test scores of the highlighted exams.
Microeconomics, Principles of
Natural Sciences Ø
Marketing, Principles of
Precalculus
Psychology, Introductory
Social Sciences and History Ø
Sociology, Introductory
Spanish Language
Western Civilization I:
Ancient Near East to 1648
Western Civilization II:
1648 to the Present
OFFICE NOTES:
♦♦ Optional essays are required for credit at EMU.
Please check with your school to see if the essay is required.
19. Repeating Exams:
Check here if you are repeating this exam.
Remember, you must wait three (3) months before repeating an examination.
20. Fee: $80 is the fee for each exam.
Required Essay Fee: $10 If you are taking an exam with an optional essay, the additional fee is made payable by check to: CLEP.
Registration information: clep.collegeboard.org
Bring your test ticket with you to the test site the day of the test.
*CLEP exams and optional essays are free to eligible military personnel, and eligible civilian employees with proper military ID.
I understand that Eastern Michigan University reserves the right to collect a separate,
nonrefundable administration fee without prior notice.
21. Signature:
Date:
Return this registration form to 200 McKenny Hall, Ypsilanti, MI 48197
EMU CLEP Registration Jan-12