аЯрЁБс>ўџ @Bўџџџ?џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС љПƒbjbjрр ",‚j‚j ;:џџџџџџlXXXXЬЬЬ8F,re№šЌ(ддд! bƒ |џ @„††††††$U u€ЊuЬ? џ"! ? ? ЊчXXдд+ччч? ЈXRдЬд„ч? „ч$ ч 8Њ"Ь„дŽ €эœEХч NP„50eX,ѕ5Вѕ„чрђXXXXйGED Testing Service of The American Council on Education One Dupont Circle, NW, Suite 250 Washington, DC 20036-1163 (202) 939-9490-Phone (202) 659-8875-Fax Candidate Information Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy If the information provided on this form is found to be incorrect, the Official GED Testing Center’s Examiner can refuse to administer or score the GED Tests and this jurisdiction can refuse to issue a score report or high school credential based on your test results. I,  FORMTEXT       , hereby affirm that: (1) I have not graduated from an accredited high school in the United States or Canada, nor am I currently enrolled in High School Last High School Attended:  FORMTEXT        City:  FORMTEXT       Jurisdiction: FORMTEXT        (2) I have not received a high school diploma from any jurisdiction. (3) I have not previously earned GED scores sufficient to qualify for a high school credential in any jurisdiction. If you need to earn higher scores to qualify for advance education or employment, you may, with appropriate verification from the institution or employer, qualify for a retest. Contact the GED Examiner for information on how to proceed. (4) I am at least 16 years old as of today. Birthdate:  FORMTEXT    /  FORMTEXT    /  FORMTEXT       mm / dd / yyyy (5) I hereby acknowledge that GED Testing Service regulations prohibit taking any of the GED Tests more than three times during any calendar year (January 1 - December 31). I affirm/certify that I have not already taken the GED Tests more than twice during this year regardless of where I have taken the GED Tests. (6) I understand that scores on any GED Tests taken more than three times during a year may be invalidated, and that if I violate this rule, I may be subject to an additional waiting period before being allowed to take the GED Tests again. (7) I am a resident of this jurisdiction and currently reside at the following address: Address:  FORMTEXT        City:  FORMTEXT       Jurisdiction:  FORMTEXT      ZIP/Postal Code: FORMTEXT        (8) I meet the additional jurisdictional requirements listed below:  FORMTEXT       Candidate s Signature Guardian s Signature (if applicable) Date *FORML5* Page  PAGE 1 of  NUMPAGES 1 Revised 10/04 L-5 Verification of Eligibility to Take the GED Tests *<>jlnz|’”˜š ЂЖИКОРЦШморшъюѓьрдЫТЙАЁ—…ЁqЁАЁ—_ЁqЁАЁ—MЁqЁА"j>*CJOJQJU^J"jŒ>*CJOJQJU^J'j>*CJOJQJU^JmHnHu"j>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^JCJOJQJ^JCJ OJQJ^JCJOJQJ^JCJOJQJ^J5CJOJQJ\^J5CJOJQJ\^J OJQJ^JjCJUmHnHu*tЖъ<>jlnю :<B њњњњњшЯЪШССЛЛЛЕЎ› ЦАј%„h„˜ўЄxЄx^„h`„˜ў ЦАј% ЦА Цј% Цј%$a$$ Ца„Lџ„Д-DMЦ џГГГ^„Lџ`„Дa$„Lџ„Д-DMЦ џГГГ^„Lџ`„Д$a$ H‚§§§ю#$./  x z Ž  ’ œ ž   Ђ А В Ц Ш Ъ д ж ђ є    љ№сзХсБсз№Є№”ЄЄ№t№Є№dЄЄ№Є№TЄЄjФCJOJQJU^JjLCJOJQJU^JjАCJOJQJU^J$jCJOJQJU^JmHnHuj&CJOJQJU^JjCJOJQJU^J'j>*CJOJQJU^JmHnHu"jž>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^JCJOJQJ^J CJ OJQJ B   Є   Њ n Tˆ€pШдиєюуюнЯПЌІПП•юŠю ЦФœ„h^„h„hЄx^„h Цhј%Є№ ЦH Ц Hј%„h„˜ўЄx^„h`„˜ў Цј%„h„˜ўЄx^„h`„˜ў Цј%„h„˜ў^„h`„˜ў Цј% Цј%„h^„h„h^„h ЦАј%„h^„h   ’ n о р є і ј ќ ў "$*,@BDLNT†бвмнїъїоїЯХГЯŸЯїЯХЯŸЯїЯХ{ЯŸЯїtїgїWgjVCJOJQJU^JjCJOJQJU^J CJ OJQJ"jи>*CJOJQJU^J"jZ>*CJOJQJU^J'j>*CJOJQJU^JmHnHu"jк>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^J6CJOJQJ]^Jj>CJOJQJU^JCJOJQJ^J   "$8:<FHfh|~€ˆŠЌЎТФЦавджbdxz|†ˆŠŒŽ’”–š эрзЪзрзКрэрзрзЊрэрзрзšрэрззрз}рэрззsзsзsз>*CJOJQJ^Jj^ CJOJQJU^JjТCJOJQJU^JjRCJOJQJU^JjоCJOJQJU^JjlCJOJQJU^JjаCJOJQJU^JCJOJQJ^JjCJOJQJU^J$jCJOJQJU^JmHnHu+и`ŠŒŽš FGHIj€‚ƒыеЦНБЈŸЈ  Ц рР!Hј% Ц ” !ј% Цxр№X ј% Цhј%Єx„'„“„Н%& #$+Dqˆ/„Д Цhј%Єx„'„“„Н%& #$+Dqˆ/„Д Цhј%„'„“„Н%& #$+Dqˆ/„Д "#$%)*4567EFI€‚ƒїюхжЫжЛжЫжЫжЛжхюЏЉ CJOJQJ^J 5CJ\5CJ$OJQJ\^J0JCJ OJQJ^JmHnHu0JCJ OJQJ^Jj0JCJ OJQJU^JCJ OJQJ^JCJOJQJ^JCJOJQJ^J 1hАа/ Ар=!А"Аа#а$#%АŒDџџџџSUBMIT_DATE_MONTHˆDџџџџSUBMIT_DATE_DAYŠDџџџџSUBMIT_DATE_YEARˆDџџџџCANDIDATES_NAMEŠDџџџџLAST_HIGH_SCHOOLœDdшєј%<№P № 3 №€€€Пџ3"ё”•П((№€xDџџџџHS_CITYzDџџџџHS_STATEœDdшєј%<№P № 3 №€€€Пџ3"ё”•П((№€€Dџџџџ BIRTH_MONTH~Dџџџџ BIRTH_DAY0~Dџџџџ BIRTH_YEARzDџџџџ<ADDRESS1œDdшєј%<№P № 3 №€€€Пџ3"ё”•П((№€rDџџџџCITYtDџџџџSTATEpDџџџџ ZIPœDdшєј%<№P № 3 №€€€Пџ3"ё”•П((№€ˆDџџџџADDL_JURIS_REQS i8@ёџ8 NormalCJ_HaJmH sH tH <A@ђџЁ< Default Paragraph Font*>@ђ* Title$a$5\,, Header  ЦрР!, @, Footer  ЦрР!&)@Ђ!& Page Number9‘ џџџџџџџџџџџџ9<џџ‘ ,џџџџ џџ z™‘ :[užŸЕЖЗї MNб=?@…чZtА јxzОгдел T U V W x Ž  ’ ˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€š0€€˜0€€˜0€€˜0€€˜0€€š0€€˜0€€˜0€€š0€€˜0€€š0€€˜0€€˜0€€˜0€€˜0€€š0€€˜0€€˜0€€˜0€€˜0€€š0€€˜@0€€š0€€˜0€€˜0€€š0€€˜0€€˜0€€˜0€€š€€š@0€€˜@0€€ 0˜0€€˜0€€˜0€€˜0€€š€€:::=ю  ƒ B иƒ‚НЩЬампуяє#/5ьјў)5;+.2>AEQV +1AMRdpvПЫб‘ FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€FTџ•€')=!єџ•€єџ•€№8№@ёџџџ€€€ї№т№№€№( № №№HЂ № # 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