CHEMISTRY PLACEMENT EXAM (CPE) REGISTRATION FORM

Pre-registration for the Chemistry Placement Exam (CPE) is required. There is no fee to take the exam. The University Testing Center, located in University Hall - room 229, must receive the CPE Registration Form by the registration deadline date.

PLEASE PRINT

Last Name:__________________________First:____________________MI_____

CSUF ID:_________________ Day Time Phone (____) ______________

Email Address:________________________________________

Do you need special accommodations for a documented disability or because of religious convictions? (If YES, please go to University Testing Center, UH-229, before the registration deadline date.)

Yes  No

CHECK THE TEST DATE BELOW:

July 20, 2013	(Deadline: July 12, 2013)

You will be emailed a CPE Admission Ticket approximately one week after you submit your CPE Registration Form. Print your CPE Admission Ticket and bring it with you to the test.

------------------------------------------------------------

TO REGISTER FOR THE CPE BY MAIL:

Mail this completed form to: California State University Fullerton; University Testing Center (UH-229); P.O. Box 6830; Fullerton, CA 92834-6830.

The University Testing Center must receive the CPE Registration Form by the test registration deadline date. You will be emailed a CPE Admission Ticket. Print the CPE Admission Ticket and bring it with you to the test.

TO REGISTER FOR THE CPE IN-PERSON:

Take this completed form to the University Testing Center, located in University Hall - room 229. The University Testing Center must receive the CPE Registration Form by the test registration deadline date. You will be emailed a CPE Admission Ticket. Print the CPE Admission Ticket and bring it with you to the test.