Northern Arizona University in Yuma
ARIZONA CLASSROOM TEACHER SPANISH PROFICIENCY EXAM
REGISTRATION FORM
Date
Name
_____________________
Semester
__________
__________________________________________
(initial)
(last)
(first)
NAU ID#
SS#
Mailing Address (include apt #):
_____________________________________________
City, State and Zip Code:
_____________________________________________
Daytime Phone Number
(please include area code):
Email Address:
_____________________________________________
_____________________________________________
Initial Examination of the exam
(circle one)
Yes
No
Retaking Examination of both parts
(Oral & Written)
Yes
__________
Date of previous Examination:
If this is the
first time that
you take this
exam, skip to
Registration
Fee
___________
Retaking Oral Portion of Examination
Yes
__________
Date of previous Examination:
___________
Retaking Written Portion of Examination:
Yes________
___
Date of previous Examination:
___________
Registration Fee
$35.00 **
Total Fee must be enclosed
$___________
Check or Money Order Number
___________
Please make your check or money order payable to NAU and mail with your application to:
Northern Arizona University
P. O. Box 6236
Yuma, AZ 85366
ATTN: Araceli Duran, Admissions
Credit card payments may be made over the phone by calling 317-6400, but you must fax your
application via fax to Dr. Amalia Garzón, Assistant Professor of Spanish, Modern Languages,
NAU-Yuma at 928-3176419.
If your application and payment have not been received TWO DAYS before the exam date, you will be
scheduled for the next semester. You will forfeit the fee paid if you fail to attend or fail to reschedule.
Updated February 15, 2016