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2 Request To Take Credit By Examination CLEP 102912 (Darton State College)

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Revised 07/12 Page 1 of 2
Office of Academic Services and Registrar
504 College Drive ACAD Bldg., Room 283
Albany, GA 31705
CREDIT BY EXAMINATION
Procedures for Applying to take College Level Examination Program (CLEP)
1. Obtain a request to take Credit by Examination from the Office of Academic
Services and Registrar.
2. Confer with academic advisor about the CLEP test(s) you want to take.
3. Complete request to take credit by examination and have it signed by advisor and
departmental chairperson.
4. Take signed form to the Office of Academic Services and Registrar for approval.
5. Take copy of approved request and obtain an application and registration form for
the CLEP in the Testing Center, ACAD Building Room 195. Be sure to place the
Albany State University code, 5004, in the space where the scores are to be sent.
6. CLEP Exam Fees: The fee for each CLEP Exam is $80. If you are taking an exam
with an optional essay, there is an additional $10 fee payable to your test center at
least 7-10 days before the exam. A separate payment is required for each CLEP
exam. You must pay an additional $10 fee to the Testing Center at least 7-10 days
before your exam.
7. Candidates may not repeat an examination within the six-month period, the
administration will be considered invalid, the score will be canceled and any test fees
will be forfeited.
8. Students who have received a deficient grade in a course at Albany State University
will not be permitted to CLEP the course.
Note: Allow four to six weeks after test(s) for results to be processed. You should receive an
evaluation sheet letting you know whether you have passed the test(s). If you have not received
CLEP evaluation in ten days after you receive your results, please contact the Office of
Academic Services and Registrar.
Office (229) 430-4638
Fax (229) 430-2953
Revised 07/12 Page 2 of 2
Office of Academic Services and Registrar
504 College Drive ACAD Bldg., Room 283
Albany, GA 31705
Request to take Credit by Examination CLEP
NAME: __________________________________________ RAM ID# _______________________________
ADDRESS: ________________________________________________________________________________
MAJOR: _________________________________ CLASIFICATION: _________________________
TELEPHONE: HOME_____________________________ CELL __________________________________
GPA: _______________ Semester and year you plan to take test __________________________
CLEP Test(s) Credit Hours Approved Course(s) Credit Hours
____________________________________ _______ _______________________________________
___________________________________________ _______________________________________
___________________________________________ _______________________________________
Reason for request
_____________________________________________________________________________________
_____________________________________________________________________________________
NOTE: The maximum number of hours accepted from Credit by Examination is 30 hours. Total hours of credit by
examination, transient and transfer should not exceed 90 hours.
Before processing this form, the advisor and departmental chairperson should review the student’s record to be
sure that the student is eligible to take the examination requested. Advisor and chairperson should approve
request prior to consideration by the Registrar.
ACTION ON REQUEST
APPROVED NOT APPROVED
_____ _____ ___________________________________ ________________
Advisor Date
_____ _____ ___________________________________ ________________
Chairperson Date
_____ _____ ___________________________________ ________________
Dean for Academic Services and Registrar Date
Office (229) 430-4638
Fax (229) 430-2953
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2 Request To Take Credit By Examination CLEP 102912 (Darton State College)

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Completed 25 July 2020

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