DSST REGISTRATION FORM
DANTES SUBJECT STANDARDIZED TEST
Delta College Test Center #9125
First Name
Last Name
Signature
Gender
Social Security #
Date of Birth
Street Address
City, State Zip
Middle Initial
[
Day Telephone (include area code)
For Office
Use Only:
] Male
Score Recipient (Name of Institution)
Test Date:
Test Time
[
] Female
City & State of Institution
Rescheduled Date:
Time
Examinees with documented disabilities:
[ ] Check here if you need special accommodations; also contact Delta College Testing Center immediately to make the necessary arrangements before test date.
Each exam now has a corresponding “Practice Exam” and “Fact Sheet” available at www.getcollegecredit.com.
APPLIED TECHNOLOGY
PHYSICAL SCIENCE
Technical Writing
Astronomy
BUSINESS
Environment & Humanity: The Race to Save the Planet
Calculator Permitted
Here’s to Your Health
Business Law II
Business Mathematics
-Non-programmable hand-held calculator
Human Resource Management
Physical Geology
Principles of Physical Science I
Introduction to Business
Introduction to Computing
-Non-programmable hand-held calculator
SOCIAL SCIENCE
Management Information Systems
A History of the Vietnam War
Money and Banking
Art of the Western World
Organizational Behavior
Criminal Justice
Personal Finance
-Non-programmable hand-held calculator
Foundations of Education
Principles of Finance
-Non-programmable hand-held calculator
Fundamentals of Counseling
Principles of Financial Account
-Non-programmable hand-held calculator
General Anthropology
Principles of Supervision
Human/Cultural Geography
HUMANITIES
Introduction to Law Enforcement
Ethics in America
Introduction to the Modern Middle East
Introduction to World Religions
Lifespan Developmental Psychology
Principles of Public Speaking
Rise and Fall of the Soviet Union
MATHEMATICS
Substance Abuse
Calculator Permitted
Fundamentals - College Algebra -Non-programmable hand-held calculator
The Civil War and Reconstruction
Principles of Statistics
Western Europe: 1945
-Non-programmable hand-held calculator
Mail this Registration Form along with fees to:
1. DSST Test Fee and
2. Delta Administration Fee
Delta College, Testing Center, A133
1961 Delta Road
University Center, MI 48710
DSST Test Fee (do not send cash nor personal checks)
For each test $80.00 x
=$
Personal checks are not accepted by DSST. Make a separate certified check/money order for each test payable to Prometric. Do not
combine fees for multiple tests, even if they are to be taken on the same day. Maximum of 2 tests per test date. (American ExpressMasterCard-VISA)
Delta Administration Fee (do not send cash)
For each test $25.00 x
Make check/money order payable to Delta College. Administration fee is non-refundable.
(Discover Card-MasterCard-VISA)
Check/Money Order#
=$
For credit card payment, complete charge information on the back of this registration form.
DSST.REGISTER 01/20/09
Confirmation Mailed:
$25 Admin Fee:
Deposit Book
Cashier
Receipt #
$25 Reschedule Fee:
Deposit Book
Cashier
Receipt #
DSST Tests Accepted at Delta College
Subject Standardized Tests
Test Number/Name
Delta Equivalent
Course #
Credit
Hours
Score
Required
Business Mathematics
Business Mathematics
MGT-110
3
45
Introduction to Business
Introduction to Business
MGT-153
3
46
Note: Delta College must receive an official score report directly from DSST before Delta College equivalent credit is posted on a
student’s transcript. DSST score must be equal to or higher than the score required for that test.
Credit Card Charge Information
For DSST Test Fees
For DELTA COLLEGE Administration Fee
Charge my:
Charge my:
 American Express Card I authorize the amount of $80.00.
 Discover Card
I authorize the amount of $25.00.
 MasterCard
I authorize the amount of $80.00.
 MasterCard
I authorize the amount of $25.00.
 VISA
I authorize the amount of $80.00.
 VISA
I authorize the amount of $25.00.
Credit card billing statement will indicate a charge from
"Prometric".
For Office Use Only:
Charge Card Receipt #
American Express credit card number
-
Discover/MasterCard/Visa credit card number
-
Date
Staff
-
-
Print Cardholder Name
Expiration Date
/
Cardholder Signature
VIN #
(3 digit # back of card)
DSST.REGISTER 01/20/09