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This form must be submitted no later than 5 days (not including weekends) prior to your requested time. *For minimum requirements in order to be able to register for a practice test, please see the corresponding course syllabus or School of Education Department Handbook.

Name First
Last
Which test are you registering for?
Date
RM. 204
RM 205
RM 205
Rm. 204
RM 205
Will you be using your preapproved university accommodations for this exam? *Please note: The only accommodation the state will possibly approve is extra time. You are not guaranteed this accommodation on the state exam. You may choose to use your university approved accommodations on the ETBU practice test. You are not required to use any accommodations on the practice certification exams.
One file only.
50 MB limit.
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