ࡱ> cebq` DbjbjqPqP .L::LVxxxx 8!\\!4)<|!#(###/%'(t<;>;>;>;>;>;>;$=h @b;1 %"/%11b;xx##e;~5~5~51jxR##<;~51<;~5~5::," ;#! 1Rs f2: <;;0)<:R@3@ ;@ ;0?)`+~5Q-\.O?)?)?)b;b; 5^?)?)?))<1111D xxxxxx;  GED Testing Service of The American Council on Education One Dupont Circle, NW Suite 250 Washington, DC 20036-1163 (202) 939-9490 Examinee Information Please read page 2 of this form for a listing of transcripts on file at the GED Testing Service in Washington, DC, and where additional transcripts are located. Examinees Name:  FORMTEXT       Please print full name at time of testing.  Social Security/Social Insurance Number:  FORMTEXT       Date of Birth:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy  Current Address:  FORMTEXT        City:  FORMTEXT       State/Province/Territory:  FORMTEXT      ZIP/Postal Code:  FORMTEXT        Place of Testing:  FORMTEXT        Date of Testing (month, day and year):  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy Ordering Information Please allow 2 to 4 weeks for processing.  Please check one:  FORMCHECKBOX  Examinee request. An official copy of the GED test scores are to be reported to the address(es) listed below. Please enclose a $12.00 money order no personal checks accepted payable to the GED Testing Service for each copy of the transcript requested.  FORMCHECKBOX  I would like to have my transcript sent to jurisdictional agency responsible for administering the GED Program in:  FORMTEXT       In some jurisdictions there is a service charge when applying for certificate or diploma. Please check with the jurisdictional agency responsible for administering the GED Program to which you are applying for the fee and application form. This information is also found in the GED Examiner s Manual.  FORMCHECKBOX  GED Examiner Request (TCO if military). Unofficial GED Test Scores will be sent to the testing center. Test Center #:  FORMTEXT        FORMCHECKBOX  County (Illinois Residents Only)  FORMTEXT        Please sign on the appropriate signature line below. Transcripts will not be issued without the signature. I hereby authorize the GED Testing Service to release my records to the address(es) listed below. Signature of Examinee: Please print address(es) to which transcript(s) is/are to be mailed: 1)  FORMTEXT       2)  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Transcript Locations The GED Testing Service maintains Transcripts for individuals who tested at the following locations: Military personnel tested overseas after September 1974 Coast Guard personnel tested after January 1975 Ov< N O Y Z  f ˼u_uFu7hZ;o5CJ OJQJ\^J0jhZ;o5CJOJQJU\^JmHnHu+jhZ;o5CJOJQJU\^J%jhZ;o5CJOJQJU\^JhZ;o5CJOJQJ\^JhZ;o5CJOJQJ^JhZ;oCJ OJQJ^JhZ;oCJOJQJ^JhZ;o5CJOJQJ\^JhZ;o5CJOJQJ\^JhZ;oOJQJ^JhZ;oCJOJQJ^JjhZ;oCJUmHnHu;[u< =  f j t  X $ Pa$$ X a$$ da$ X $ L-DM ^L`a$L-DM ^L`$a$lCDDf h j      " ( * > @ B F H N P d ԫԂoYFY%jhZ;oCJOJQJU^J*jhZ;oCJOJQJU^JmHnHu%jhZ;oCJOJQJU^JjhZ;oCJOJQJU^J0jhZ;o5CJOJQJU\^JmHnHu+j hZ;o5CJOJQJU\^J%jhZ;o5CJOJQJU\^JhZ;o5CJOJQJ\^JhZ;oCJOJQJ^JjhZ;oCJOJQJU^Jd f h p r t   " , . h j ~ ܺܺ~ܺnܺ[ܺܺH%j@hZ;oCJOJQJU^J%jhZ;oCJOJQJU^Jj(hZ;oCJOJQJU^J%jhZ;oCJOJQJU^Jj hZ;oCJOJQJU^JhZ;o5CJOJQJ\^JhZ;oCJ OJQJhZ;oCJOJQJ^J*jhZ;oCJOJQJU^JmHnHujhZ;oCJOJQJU^J%jhZ;oCJOJQJU^J . 2 *+UWij~8  ^` ^`$ L-DM ^L`a$L-DM ^L` $ a$ X        ( * . 0 ͺ͇ͪ͗uhSu(jhZ;o>*CJOJQJU^JhZ;o>*CJOJQJ^J"jhZ;o>*CJOJQJU^JjXhZ;oCJOJQJU^J%jhZ;oCJOJQJU^Jj2hZ;oCJOJQJU^J%jhZ;oCJOJQJU^JhZ;oCJOJQJ^J*jhZ;oCJOJQJU^JmHnHujhZ;oCJOJQJU^J *UVijֽֽʉzk_OChZ;oCJ OJQJ^Jj hZ;oCJOJQJU^JhZ;oCJOJQJ^JhZ;o5CJOJQJ\^JhZ;o5CJOJQJ\^JhZ;oCJ OJQJ(jhZ;o>*CJOJQJU^J(jzhZ;o>*CJOJQJU^JhZ;o>*CJOJQJ^JhZ;oCJOJQJ^J"jhZ;o>*CJOJQJU^J-jhZ;o>*CJOJQJU^JmHnHujkyz{W[~  ",.2t_Ht-jhZ;o>*CJOJQJU^JmHnHu(j4 hZ;o>*CJOJQJU^JhZ;o>*CJOJQJ^J"jhZ;o>*CJOJQJU^J%j hZ;oCJOJQJU^JhZ;oCJ OJQJ^JhZ;o6CJOJQJ]^JhZ;o5CJOJQJ\^J%j hZ;oCJOJQJU^JhZ;oCJOJQJ^JjhZ;oCJOJQJU^J8jlpHJDF2.0 X $ D%a$ D% X   ^` ^` ^`^>@TVXbdfjlоyfоQy(j< hZ;o>*CJOJQJU^J%j hZ;oCJOJQJU^JhZ;oCJ OJQJ^J-jhZ;o>*CJOJQJU^JmHnHu(jL hZ;o>*CJOJQJU^JhZ;o>*CJOJQJ^J"jhZ;o>*CJOJQJU^JhZ;oCJOJQJ^JjhZ;oCJOJQJU^J%j hZ;oCJOJQJU^JlnpH>@  ",.024HJLVXZ㻩}㩻h}㩻S}(jThZ;o>*CJOJQJU^J(jhZ;o>*CJOJQJU^J-jhZ;o>*CJOJQJU^JmHnHu(j`hZ;o>*CJOJQJU^J"jhZ;o>*CJOJQJU^JhZ;o>*CJOJQJ^JhZ;oCJ OJQJ^JhZ;o5CJOJQJ\^JhZ;oCJOJQJ^Jj hZ;oCJOJQJU^J Z\^rtvՔj(jDhZ;o>*CJOJQJU^J(jhZ;o>*CJOJQJU^J(jLhZ;o>*CJOJQJU^J-jhZ;o>*CJOJQJU^JmHnHu(jhZ;o>*CJOJQJU^JhZ;o>*CJOJQJ^J"jhZ;o>*CJOJQJU^JhZ;oCJOJQJ^J#(*,46`8*=,=?@CbCjClCnCrCtCxCzC~CCCCٵ|mmaYUYUYUYUKhZ;oCJOJQJhUjhUUhCJOJQJ^JhZ;o5CJOJQJ\^JjThZ;oCJOJQJU^JUhZ;oCJOJQJ^JhZ;o5CJOJQJ\^JhZ;oCJOJQJ^JhZ;o>*CJOJQJ^J-jhZ;o>*CJOJQJU^JmHnHu"jhZ;o>*CJOJQJU^J(jhZ;o>*CJOJQJU^J0246`b,X889n99::";|;;;(=*= & F X <$ L-DM ^L`a$L-DM ^L` X erseas civilians tested after November 1966 Ft. Jackson personnel tested after March 1975 Federal Prison inmates tested after September 1954 Michigan Prison inmates tested after 1957 West point personnel tested after 1982 Ft. Hamilton personnel tested after January 1984 Ft. Knox, KY and Ft. Campbell, KY personnel tested after July 1, 1985 Active duty military personnel tested after October 1, 1985 Veteran Administration after October 1, 1989 Canadian military personnel tested after June 1982 If the examinee was tested in one of the above settings, please complete the information on the reverse side and return to GED Testing Service in Washington, DC.  Official copies of the GED test scores may be requested from the following agencies according to the date of testing: Military personnel tested before September 1974 Coast Guard personnel tested before January 1975 Contact: Contract Representative for DANTES CN 6605 Princeton, NJ 08541-6605 609-702-6740 For a copy of your GED Certificate or Diploma, please contact the jurisdictional agency responsible for administering the GED Program to which you applied for a credential. Active duty military personnel tested within the United States after September 1, 1974 are tested through the jurisdictional agency responsible for administering the GED Program or local Official GED Testing Centers in the state in which the installation is located. Contact the center at which you tested.     *FORM400T* Page  PAGE 2 of  NUMPAGES 2 Revised 10/04 FM-400T GED Transcript Request Dedicated FAX number for this form: 202-464-4853 *=.=0=>|>>>8?J?~???@@`CbCdCfChCjClCpCrCvCxC X  X ^ X ^ X xC|C~CCCCDDDDDDDDDDDD X CCCCCCCCCCCCCCCDDDDDDDDDDD޽޽hCJOJQJ^JhhZ;o5CJOJQJ\^JhZ;o5CJ$OJQJ\^JhU%h?40JCJ OJQJ^JmHnHuhZ;o0JCJ OJQJ^J#jhZ;o0JCJ OJQJU^JhZ;oCJ OJQJ^JhZ;o,1h/ =!"#8$% D EXAMINEE_NAMEDd%<P  3 3"((pD SSND BIRTH_MONTH|D BIRTH_DAY~D BIRTH_YEARDd%<P  3 3"((D2 CAND_ADDRESSDd%<P  3 3"((|D CAND_CITYxDSTATE_3zDCAND_ZIPDd%<P  3 3"((D(TESTING_LOCATIONDd%<P  3 3"((D TESTING_MONTH0D TESTING_DAY0D TESTING_YEAR0Dd%<P  3 3"((DeEXAMINEE_REQUESTDeSEND_TO_JURISDICTIONDJURISDICTION_TESTEDDeEXAMINER_REQUEST|D CENTER_IDtDeCOUNTYDILLINOIS_COUNTYDd%<P  3 3"((xDSEND_TO|D SEND_TO_2zDADDRESS1~D ADDRESS1_2zDADDRESS2~D ADDRESS2_2DCITY_STATE_ZIPDCITY_STATE_ZIP_2Dd%<P  3 3"((@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontViV  Table Normal :V 44 la (k(No List 2>@2 Title$a$5\4@4 Header  !4 @4 Footer  !.)@!. Page NumberUUXL;[u<=c/1WYTnopwFGbc}~ H r s t u v ) Y  9 j  L M i ()   X[\]^}I00I00I00I00I00I00I00`M 0 IuI00I00I00I00I00I0 0FI0 0FI0 0FI0 0FI0 0EI0 0CI0 0I0 0I0 0I0 0I0 0I0 0I0 0I0 0I0 0I0 0I0 0I0 0I0 0I0 0I0 0@I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00000000 0 0 0 0 0 0 0 0 0 0 0 000000000000000000000000I00I00I00I00I00I00I00I00@0@0I00I00I0^1BWYI0I0I0I00;[u<=c/1WYTnopwFGbc}~ H r s t u v ) Y  9 j  L M i ()   X[]^}K00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00I00@0@0@0@0@0@0@0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0 @00@0I00 00KK0|^@0I0I0I0 0 KKKNf d jlZCD % 80*=xCD#$DNZ`BNT_kq'*.:=AMR_kq1=CGWz     * 0 3 ? E H T Z ] i o FFFFFFFFFFFFFG G FG FG FFFFFFFFF#%*57N!8@(    C F. `R`TR`T B S  ?<t@ EXAMINEE_NAMESSN BIRTH_MONTH BIRTH_DAY BIRTH_YEAR CAND_ADDRESS CAND_CITYSTATE_3CAND_ZIPTESTING_LOCATION TESTING_MONTH TESTING_DAY TESTING_YEAREXAMINEE_REQUESTSEND_TO_JURISDICTIONJURISDICTION_TESTEDEXAMINER_REQUEST CENTER_IDCOUNTYILLINOIS_COUNTYSEND_TO SEND_TO_2ADDRESS1 ADDRESS1_2ADDRESS2 ADDRESS2_2CITY_STATE_ZIPCITY_STATE_ZIP_2OC`/B`2H{  4 I ^  aUr+>SrDX  1 F [ p +8#8#949D9 909$9t999d 9( 9 9D 90 9#9$9 9T#99 9[9949%9, 99489L99t9:9̍9 9X!9X"9%#9%$9Tm%9m&9,'9 -(9L-;;[[gj uuz""'aa  9 9 = j t { {        #!"$%&)'(*ZZeitt  z&--ii  < E E r v      "#!$%&()'* B*urn:schemas-microsoft-com:office:smarttagscountry-region= *urn:schemas-microsoft-com:office:smarttags PlaceName="*urn:schemas-microsoft-com:office:smarttags PlaceType>&*urn:schemas-microsoft-com:office:smarttags PostalCode9'*urn:schemas-microsoft-com:office:smarttagsState8(*urn:schemas-microsoft-com:office:smarttagsCity9)*urn:schemas-microsoft-com:office:smarttagsplace:**urn:schemas-microsoft-com:office:smarttagsStreet;+*urn:schemas-microsoft-com:office:smarttagsaddress +*)('&)('") ") ")')" ))" (')(')(')('& ) "?E\]UZ,4HP\]3333333NaBU_r+.>AS_r1DGXz   1 3 F H [ ] p t t kk-7;I\]c74#6*1#688^8`B*OJQJo(phq ^`OJQJo(o pp^p`OJQJo( @ @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o PP^P`OJQJo(88^8`B*CJOJQJo(ph ^`OJQJo(o pp^p`OJQJo( @ @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o PP^P`OJQJo(c74*1I3[        0l        Ul&?4Z;o}@[`@X[[|[[[[[[[[ [ P@P P P@PPPPPP8UnknownG: Times New Roman5Symbol3& : ArialI AdvHC39cCourier;Wingdings?5 z Courier New"1h劖抖&e e !84d  - 2QKX ?U*GED Testing ServicePatricia JonesPatricia Jones  Oh+'0 (4 T ` l xGED Testing ServicePatricia JonesFM-400 T GEDPatricia Jones1Microsoft Office Word@F#@4c@fRs@?@ABCDEFGHIJKLMNOPQSTUVWXY[\]^_`adRoot Entry F RsfData '1Table1@WordDocument.LSummaryInformation(RDocumentSummaryInformation8ZCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q