Refer to the instructions below as you complete the Registration Form.
Because the form is machine processed, please be sure to:
- Use only a #2 pencil
- Blacken in the oval spaces under each letter and number entered
Items 1-3: As directed. Use your full name each time you register.
Item 4: Social Security Number. If you use it once, use it every
time.
Item 5: High School Code 221000
Item 6: Use current grade level.
Item 7: Blacken "May" oval. Write in the
appropriate year and blacken those ovals.
Item 8: As indicated. We suggest answering "yes."
Item 9: Test -- fill in which one you want to take.
Test Date -- fill in oval for appropriate date.
Item 10: Fill in 22-416 as first choice
and do not include a second choice.
Item 11: Do not complete unless you are sure that you are applying to
specific colleges.
Item 12: Optional. Use pages 7-10 of the bulletin for directions.
Item 13:
Item 14:
Item 15: Write (do not print) the statement and sign your name.
Item 16:
Item 17: Do Not Complete
Item 18: Optional
Item 19: SAT Reasoning Test -- Ignore
SAT Subject Tests -- Indicate the test(s) you plan on taking. Add up the
cost of the tests you plan to take and put the cost on the
"subtotal" line. Add in the $18 registration and put the total on
the "total" line.
Item 20: Enter all applicable fees on the appropriate lines and enter
the total on the box at the bottom of the page. Blacken the appropriate
ovals.
ACT Registration
REGISTRATION -- PAGES 1 & 4: See pages 7-8 of Registration
Booklet for more information.
Item A:
Item B: Print name & blacken appropriate ovals. Use complete name.
Item C: If you know it, use it.
Item D: Enter day & year and blacken appropriate ovals.
Item E: Blacken the appropriate oval.
Item F: Optional -- reply if you wish to or indicate you do not wish
to respond.
Item G: Blacken the appropriate oval.
Item H:
Item I: Blacken the appropriate oval.
Item J: Blacken appropriate oval.
Item K: Enter
the appropriate year of graduation
and blacken
appropriate ovals.
Item L: 221000
Item M: Blacken oval for test date requested.
Item N: Enter the first and second choice
codes for the test centers.
Item O: Do not complete unless you are sure that you are applying to
specific colleges.
Item P,Q,R,S: Fill in information and blacken appropriate
ovals.
Item T&U: Leave blank.
Item V: Blacken the appropriate oval.
Item W: We suggest responding "Yes."
Item X: Complete this item if you want to
have the test fee charged to your credit card.
Item Y: Read the statement, sign, and date.
Item Z: Enter applicable charges and total at the bottom of the
block.
HIGH SCHOOL COURSE/GRADE INFORMATION -- PAGE 2: Update this
information each time you register. See page 9 of the Registration
Booklet.
INTEREST INVENTORY -- PAGE 2: Complete this section the first
time you register for an ACT. See page 10 of the Registration Booklet
for directions & questions.
STUDENT PROFILE SECTION -- PAGE 3: Complete this section the
first time you register for an ACT. See pages 11-15 of the Registration
Booklet for directions and questions |