CLEP REGISTRATION Richland College Medina Hall Room: M105 (972) 238-6941 APPLICANT INFORMATION Last Name: Sex: ☐ Male First: Street Address: ☐ Female Apt/Unit # City State ZIP Phone #: Cell #: E-mail Address: Date of Birth: NOTE: If you do not arrive on time, you will not be allowed to test. Your administrative fee will be forfeited and NO REFUNDS will be given. Test Center Name: Richland College Date of Exam: _ CLEP Exam To Be Taken: * If you register for more than one CLEP exam, payment for each exam must be made separately. Richland Administrative Fee: CLEP Exam Fee: $25.00 $80.00 Paid in advance at cashier’s window T-140 Paid in advance through CLEP. You will receive a voucher that must be brought to the Test Center on the day of registration and on the day of testing. (non-refundable) Cost of Exam Total Fees: $105.00 ADA ACCOMMODATIONS Students with documented disabilities: Check Here ☐ if you need testing accommodations. Documentation must be obtained through RLC Disability Services, T120 and on file in the RLC Test Center. You must also contact the RLC Test Center to make the necessary arrangements before the test date. DISCLAIMER AND SIGNATURE I have read and do understand that if I am late or a “no-show” for the CLEP exam, I will not receive a refund for the administrative fee and that the CLEP is administered on a first come first served basis. I further understand that, in order to take the CLEP exam, I must present two (2) forms of identification; One (1) Government issued ID and a secondary ID that must have a photo or signature. Signature: Government ID # Date: BUSINESS OFFICE USE ONLY Receipt #: Date: Initials: TEST CENTER USE ONLY Date: Voucher ID: Initials: Ticket ID: 01/21/2014 CLEP Computerized Test Subject Exams *See Advisement for test limitations for these computerized CLEP exams Repeating exams: ❏ Check here if you are repeating any of these exams. Remember, you must wait six months before repeating an examination. DCCCD Approved CLEP Exams Minimum Score Credits Courses ❏ *American Government 50 3 GOVT 2302 ❏ American Literature 50 6 ENGL 2327, 2328 ❏ General Biology 50 8 BIOL 1406, 1407 ❏ Calculus w/Elementary Functions 50 5 MATH 2513 ❏ General Chemistry 50 8 CHEM 1411, 1412 ❏ College Algebra 50 3 MATH 1314 ❏ English Literature 50 6 ENGL 2322, 2323 ❏ Financial Accounting 50 3 ACCT 2301 ❏ College Level I French Language 50 6 FREN 1411, 1412 ❏ College Level II French Language 62 12 FREN 1411, 1412, 2311, 2312 ❏ College Level I German Language 50 8 GERM 1411, 1412 ❏ College Level II German Language 63 14 GERM 1411, 1412, 2311, 2312 ❏ History of U.S. I 50 3 HIST 1301 ❏ History of U.S. II 50 3 HIST 1302 ❏ Human Growth and Development 50 3 PSYC 2314 ❏ Introductory Business Law 50 3 BUSI 2301 ❏ Introductory Psychology 50 3 PSYC 2301 ❏ Introductory Sociology 50 3 SOCI 1301 ❏ Pre-calculus 50 3 MATH 2412 ❏ Principles of Macroeconomics 50 3 ECON 2301 ❏ Principles of Management 50 3 BMGT 1303 ❏ Principles of Marketing 50 3 MRKG 1311 ❏ Principles of Microeconomics 50 3 ECON 2302 ❏ College Level I Spanish Language 50 8 SPAN 1411, 1412 ❏ College Level II Spanish Language 63 14 SPAN 1411, 1412, 2311, 2312 ❏ Western Civilization I 50 3 HIST 2311 ❏ Western Civilization II 50 3 HIST 2312 CLEP General Exams NOT DCCCD approved ❏ Analyzing and Interpreting Literature* ❏ Introduction to Educational Psychology ❏ College Mathematics ❏ Natural Sciences ❏ Humanities ❏ Social Sciences and History ❏ Information Systems and Computer Applications The English Composition is not administered at RLC nor is it accepted by the DCCCD 01/21/2014 *In order to receive credit for GOVT 2301, students must take a departmental test on Texas Government. The departmental GOVT 2301 test may be given only to students who have also received credit for Government 2302 via CLEP. 01/21/2014