JOHN TYLER COMMUNITY
COLLEGE CLEP TESTING
APPLICATION
First Name
M.I.
Student EMPLID No.
E-mail Address
Last Name
Daytime Telephone
Street Address
City/County
First Preference Test Date (month, day, year)
Second Preference Test Date (month, day,
year)
Chester Campus Test Center (only)
Examinations which you are requesting:
_____ Algebra, College
_____ American Government
_____ American Literature*
_____ Analyzing & Interpreting Literature*
_____ Biology
_____ Business Law, Introductory
_____ Calculus
_____ Chemistry
_____ Educational Psychology, Intro to
_____ English College Composition(with essays)
_____ English Literature*
_____ Financial Accounting
_____ French Language
_____ German Language
_____ History of the US I: to 1877
_____ History of the US II: 1865 - Present
_____ Human Growth & Development
_____ Humanities
_____ Information Systems & Computer Applications
_____ Macroeconomics, Principles of
_____ Microeconomics, Principles of
_____ Management, Principles of
_____ Marketing, Principles of
_____ Mathematics, College
_____ Natural Sciences
_____ Precalculus
_____ Psychology, Introductory
_____ Social Sciences & History
_____ Sociology, Introductory
_____ Spanish Language
_____ Western Civilization I: to 1648
_____ Western Civilization II: 1648 - present
* Optional essays are no longer available at JTCC with these CLEP tests.
Repeating Exams _____ Check here if you are repeating any CLEP exam. Remember, it is required that you must
wait six months before repeating an examination.
FEES: The fee at John Tyler Community College for each examination is $80 to CollegeBoard CLEP paid at testing
time. You must pay for each exam on the day of the exam by valid credit card only. Other forms of payment cannot be
accepted. Fees for multiple tests must be charged separately even if they are taken on the same day.
SUBMISSION OF THIS CLEP TEST REQUEST FORM: This completed form may be sent in by
email to testing@jtcc.edu
or
regular mail to
CLEP Testing Office Room M-135A
John Tyler Community College
13101 Jefferson Davis Highway
Chester, VA 23831-5316
NOTE: Submit this completed form when you are ready to take a CLEP test. It must be received no later than
one week prior to the arranged testing date!
DO NOT WRITE IN THIS SPACE: FOR TESTING DEPT USE
Date testing request received: ____________________________________
Date contact made: _____________________________________________
Date of testing appointment: _____________________________________
Test appointment not arranged. Reason:____________________________________________________________
Test Proctor: __________________________________________________________