PSB-HOAE PRE-ENTRANCE EXAM DATES Mark the box in front of the time you are registering after you have verified with Testing Services that seating is available. A total of two (2) tests may be taken per academic year and only one (1) test per month may be taken. Test Dates Registration Deadlines Tuesday, November 4, 2014 □ 9:00 a.m. or □ 1:00 p.m. Wednesday, November 5, 2014 □ 9:00 a.m. or □ Friday, October 31, 2014, by 3:15 p.m. November test dates are valid for: DNA, DHY, DMS, MAS, MDA, MLT, OTA, STP, VET 1:00 p.m. Tuesday, December 2, 2014 □ 9:00 a.m. or □ 1:00 p.m. Wednesday, December 3, 2014 □ 9:00 a.m. or □ 1:00 p.m. Monday, December 1, 2014, by 3:15 p.m. December test dates are valid for: DNA, DHY, DMS, MAS, MDA, MLT, OTA, STP, VET Tuesday, February 10, 2015 □ 9:00 a.m. or □ 1:00 p.m. Wednesday, February 11, 2015 □ 9:00 a.m. or □ 1:00 p.m. Friday, February 6, 2015, by 3:15 p.m. February test dates are valid for: DNA, DHY, DMS, MAS, MDA, MLT, OTA, STP, VET Thursday, February 12, 2015 □ 9:00 a.m. or □ 1:00 p.m. □ 1:00 p.m. Tuesday, March 3, 2015 □ 9:00 a.m. or Friday, February 27, 2015, by 3:15 p.m. Wednesday, March 4, 2015 □ 9:00 a.m. or □ 1:00 p.m. March test dates are valid for: DNA, DHY, DMS, MAS, MDA Thursday, March 5, 2015 □ 9:00 a.m. or □ 1:00 p.m. Wednesday, April 8, 2015, by 3:15 p.m. Friday, April 10, 2015 □ 9:00 a.m. or □ 1:00 p.m. April test dates are valid for: MAS & MDA PSB-HOAE Pre-Entrance Exam Application Program: Please complete this application and return to Testing Services in Room C205. Name ________________________________________________________________________________________ Last First MI (Maiden) Address ______________________________________________________________________________________ Street City/State/Zip Code Phone ________________________________ Do you need testing accommodations? Y N Social Security Number _______________________________ (Please circle) PLEASE NOTE: If you have a disability that requires testing accommodations, you must provide documentation of your disability and need for accommodations to the Student Success Center in Room C219 within seven (7) working days of the test date for which you are applying. *An exam date will be scheduled between the student and Testing Services after accommodations have been approved by a Disability Coordinator in the Student Success Center. Have you taken the PSB – Health Occupations Aptitude Exam (HOAE) before? If yes, when? MM/YY Y N (Please circle) *Please read the following statements carefully: There is a $25.00 registration fee due at the time of registration for each test date scheduled. Testing Services accepts applications in Room C205 between 8:15 a.m. and 3:15 p.m. Monday – Friday. Payment is made in the Bursar’s Office in Room C213 between 8:30 a.m. and 3:30 p.m. The registration fee is non-transferrable and non-refundable, which means you will need to pay for another test date if moving from your original scheduled date. A total of two (2) tests may be taken per academic year and only one (1) test per month may be taken. Photo ID required on day of exam. The college reserves the right to change exam dates and fees at any time. If you have any questions about the above guidelines or need assistance completing the application, please contact Testing Services at (618) 985-2828 Ext. 8520. I certify that the information provided is correct and that I have read and understand the above statements. ►___________________________________________________________________________________________ Applicant’s Signature Date FOR OFFICE USE ONLY: Test Date ________@________ on _________________ Receipt # ___________________ Date Paid _________ Test Date ________@________ on _________________ Receipt # ___________________ Date Paid _________
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