DAYTONA STATE COLLEGE – Assessment Services
CompTIA Test Student Voucher Payment Form
Daytona State College Assessment Services offers certification testing through Pearson VUE. Students who choose to sit
for a certification exam may be eligible for a discount.
To qualify for discounted prices students must currently be enrolled in a DSC Computer Science / Engineering degree or
Certificate program and have taken the course for the specific certification exam. Students about to graduate are eligible
for the student discount one semester beyond graduation if they register and pay while in their final semester. Exams
must be taken at DSC. Funding is limited.
Registration / Payment process: Obtain a CompTIA payment form at the Daytona Beach (Bldg100/Rm107) or DeLand
(Bldg7/Rm117) Assessment Services Center, pay at the Office of Student Accounts and deliver the receipt to Assessment
Services or provide a scholarship authorization form.
Contact your campus of choice to make an appointment (dates and seating are limited at each campus).
DeLand Campus: Tues., Wed. and Thurs. 10:00 am - 2:30 pm; Fri. 9 am-2pm
ATC Campus: Tues., Thurs. 1-5pm; Fri 8:30am - 12:30pm & 1:30-4:30pm
Last
Address:
City, State, Zip:
Telephone:
E-mail:
First
MI
SS#
Important Notice: If you have taken any examinations in the past and any of your information has changed (address etc.), please let
us know before we schedule your test.
Exam Name / Type
Exam Fee
Exam Date
Start Time
$
$
Cost Center:
10-115302004
Voucher #
Total Number of Exams
Total Payment:
$
GL Code
40920
Confirmation #
Note: Appointments for testing will not be scheduled until payment has been made or scholarship approved and this form
has been processed. Vouchers are non-refundable.
DSC locations for CompTIA Certification Exams:
Assessment Services-Deland Campus
Assessment Services -Advanced Technology College Campus
Building 7, Room 117
Building 1, Room 132
(386) 785-2029 or 2223
(386) 506-3067
Site phone: (386) 506-4160 only available the day of testing
Select the semester you will test:
Select preferred campus:
 Fall
 Deland
 Spring
 ATC
 Summer
For more information and schedule go to: www.DaytonaState.edu/assessment/itcert_test.html
_______________________________________________________________________________________
Candidate’s Signature
Date
AS Staff Signature
Date
(Form not valid without this signature)
Copies: White - AS; Yellow - Student
AS doc. revised1/12/15