ࡱ> ^`] bjbj "Hjjm <olXXXX 8& | ,% F (HHH{$$$$$$$$& ($"$/XXHHeX%///vXRHH$/$/> /m$"m$H b  ]^m$m$,n%0%m$.)t.)m$/ XXXXGED Testing Service of The American Council on Education One Dupont Circle, NW Suite 250 Washington, DC 20036-1163 (202) 939-9490 Requesting Agency Information Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyySend this request to the GEDTS Partner Outreach Unit at the address above.The General Educational Development Testing Service is hereby requested to establish an Official GED Testing Center as provided in the information below and in accordance with the policies of the GED Testing Service as outlined in Section 2 of the 2002 GED Examiners Manual. Note: GEDTS cannot consider this request without prior approval from the GED Administrator as indicated on page 2 of this form.  Requesting Agency:  FORMTEXT       Address of Requesting Agency:  FORMTEXT        City:  FORMTEXT       State/Province/Territory:  FORMTEXT       ZIP/Postal Code: FORMTEXT        Requesting Agency Chief Administrative Officer Name and Title:  FORMTEXT         FORMCHECKBOX  Test Center Compliance Form L-75-2 Completed and Attached Proposed Official GED Testing Center Information Name of Proposed Official GED Testing Center: FORMTEXT        Exact Street Address:  FORMTEXT        City:  FORMTEXT       State/Province/Territory:  FORMTEXT       ZIP/Postal Code: FORMTEXT        GED Chief Examiner Name:  FORMTEXT       Title: FORMTEXT        Street Address (if different than above):  FORMTEXT       City, State/Province/Territory, ZIP/Postal Code (if different than above):  FORMTEXT       I certify that the GED Chief Examiner  FORMCHECKBOX  Holds a Bachelor s degree and  FORMCHECKBOX  Is not involved in instruction or preparation for the GED Tests.  Names and Titles of all GED Examiners - attach GED Form L-10 for each examiner:  FORMTEXT        FORMTEXT        FORMTEXT        Additional Information:  FORMTEXT        Phone: ( FORMTEXT    ) -  FORMTEXT     -  FORMTEXT      Fax: ( FORMTEXT    ) -  FORMTEXT     -  FORMTEXT       Requested by: Name (please type):  FORMTEXT       Signature:  GED Administrator I have scheduled the following date for in-service training: Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy  I recommend the establishment of this Official GED Testing Center. GED Administrator Signature Jurisdiction GEDTS Use Only Approved by:  FORMTEXT       Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy  Contract Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      10-Digit Center ID Number:  FORMTEXT       mm / dd / yyyy  Type:  FORMCHECKBOX  Civilian  FORMCHECKBOX  Military  FORMCHECKBOX  US Prison  FORMCHECKBOX  State Prison  FORMCHECKBOX  Other:  FORMTEXT        *forml75* Page  PAGE 1 of  NUMPAGES 2 Revised 10/04 L-75 Request to Establish Official GED Testing Center Dedicated FAX number for this form: (202) 464-4853 *DFRThjlprxz¹zhzVzO CJ OJQJ"j>*CJOJQJU^J"j~>*CJOJQJU^J'j>*CJOJQJU^JmHnHu"j>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^JCJOJQJ^JCJOJQJ^JCJOJQJ^J5CJOJQJ\^J5CJOJQJ\^J OJQJ^JjCJUmHnHu*tDFFGoD$$Ifl0%(<64 la d$If^d $If^$If$ L-DM ^L`a$L-DM ^L`$a$ TCEG\  LNbdfprxz۵ۥ۵uh[K[j\CJOJQJU^JjCJOJQJU^JjCJOJQJU^Jj:CJOJQJU^JjCJOJQJU^J$jCJOJQJU^JmHnHujCJOJQJU^JjCJOJQJU^JjtCJOJQJU^J6CJOJQJ]^JCJOJQJ^J>*CJOJQJ^JCJOJQJ^JCJOJQJ^JG\x|T X    $ L-DM ^L`a$L-DM ^L`$a$ <x , . B D F P R T V X   ξήסוr\Oj CJOJQJU^J*j5CJOJQJU\^JmHnHu%jx5CJOJQJU\^Jj5CJOJQJU\^J5CJOJQJ\^JjCJOJQJU^Jj^CJOJQJU^JjCJOJQJU^JCJOJQJ^JCJOJQJ^JjCJOJQJU^J$jCJOJQJU^JmHnHu  " $ &   ` b v x z ĸzmdWdGWjP CJOJQJU^JjCJOJQJU^JCJOJQJ^JjCJOJQJU^J*j5CJOJQJU\^JmHnHu%j45CJOJQJU\^J5CJOJQJ\^JCJOJQJ^J5CJOJQJ\^J5CJ OJQJ\^J%j5CJOJQJU\^J5CJOJQJ\^Jj5CJOJQJU\^J    P R f h j t v   ׺תך׍ׁq^q%j 5CJOJQJU\^Jj5CJOJQJU\^J5CJOJQJ\^Jj CJOJQJU^Jjt CJOJQJU^Jj CJOJQJU^Jjr CJOJQJU^Jj CJOJQJU^JCJOJQJ^JjCJOJQJU^J$jCJOJQJU^JmHnHu!   * , @ B D N P R T V hj~λήΒ΍zsfVfjCJOJQJU^JjCJOJQJU^J jLCJUjUmHnHujU jU%j(5CJOJQJU\^JCJOJQJ^Jj CJOJQJU^J%j 5CJOJQJU\^J5CJOJQJ\^Jj5CJOJQJU\^J*j5CJOJQJU\^JmHnHu! R V h>6^bpt $x $ P p%& #$+DH/  \ <  \  $xa$$a$$ a$@B^`b68LNPZ\^}mjCJOJQJU^Jj:CJOJQJU^JjCJOJQJU^Jj"CJOJQJU^J$jCJOJQJU^JmHnHujCJOJQJU^JjCJOJQJU^JjpCJOJQJU^JjCJOJQJU^JCJOJQJ^J&^`rt"$8:<BDJL`bdܹܹܹܹyܹijxCJOJQJU^JjCJOJQJU^Jj~CJOJQJU^JjCJOJQJU^JjxCJOJQJU^J$jCJOJQJU^JmHnHujCJOJQJU^JjCJOJQJU^JCJOJQJ^Jj^CJOJQJU^J)dlnpr*,׻ױ~riZ׻H׻"j>*CJOJQJU^J>*B*CJOJQJ^JphCJOJQJ^J5CJOJQJ\^JjCJOJQJU^J'j>*CJOJQJU^JmHnHu"j>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^JjCJOJQJU^JCJOJQJ^JjCJOJQJU^J$jCJOJQJU^JmHnHu*,$Z^FHJh* l%x %x % % d%x$ L-DM ^L`a$L-DM ^L` l "&VZ\HJhԷԜyly`WJjCJOJQJU^JCJOJQJ^J5CJOJQJ\^JB*CJOJQJ^Jph>*B*CJOJQJ^Jphj@CJOJQJU^J CJ OJQJCJOJQJ^J"j>*CJOJQJU^JCJOJQJ^J'j>*CJOJQJU^JmHnHuj>*CJOJQJU^J"j:>*CJOJQJU^J>*CJOJQJ^J&(,\^ƷƷuƷcZS CJ OJQJCJOJQJ^J"j>*CJOJQJU^J"j>*CJOJQJU^J'j>*CJOJQJU^JmHnHu"jl>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^JCJOJQJ^J$jCJOJQJU^JmHnHujCJOJQJU^JjCJOJQJU^J*^bPzPRTV !% %x  x % % % %^`(*>@BLNRоڪИڪІڪyiyVy$jCJOJQJU^JmHnHujP CJOJQJU^JjCJOJQJU^J"j>*CJOJQJU^J"j>>*CJOJQJU^J'j>*CJOJQJU^JmHnHu"j>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^JCJOJQJ^JjCJOJQJU^JR "$:<XZ\z|yfW>*B*CJOJQJ^Jph%j>*B*CJOJQJU^JphB*CJOJQJ^JphjR#CJOJQJU^Jj"CJOJQJU^JjX"CJOJQJU^Jj!CJOJQJU^Jjh!CJOJQJU^JjCJOJQJU^Jj CJOJQJU^JCJOJQJ^J CJ OJQJ   ,.02NPVֽ֮}ncnSncncnSn}G5CJ$OJQJ\^J0JCJ OJQJ^JmHnHu0JCJ OJQJ^Jj0JCJ OJQJU^JCJOJQJ^JCJOJQJ^JCJOJQJ^JjN$CJOJQJU^JCJ OJQJ^J>*B*CJOJQJ^Jph0j>*B*CJOJQJU^JmHnHphu%j>*B*CJOJQJU^Jph+j#>*B*CJOJQJU^JphCJOJQJ^J 5CJ\5CJ$OJQJ\^J5CJOJQJ\^J 1h/ =!"#$#%~D DATE_MONTHzDDATE_DAY|D DATE_YEARDd%<P  3 3"((D(CONTRACTING_AGENCYDd%<P  3 3"((DAGENCY_ADDRESSDd%<P  3 3"((D AGENCY_CITYD AGENCY_STATE~D AGENCY_ZIPDd%<P  3 3"((D<AGNCY_ADMN_NAME_TITLDd%<P  3 3"((DeCMPLNC_FRM_ATTACHEDD CENTER_NAMEDd%<P  3 3"((D(CENTER_ADDRESSDd%<P  3 3"((D CENTER_CITYD CENTER_STATE~D CENTER_ZIPDd%<P  3 3"((D EXAM_NAME_1~D EXAM_TITLEDd%<P   3 3"((DADDRESS_IF_DIFFERENTD2IFDIF_CITY_STATE_ZIPDd%<P   3 3"(( DeBACHELORS_DEGREEDeNOT_INSTRUCTIONALDd%<P   3 3"(( DEXAM_2_NAME_TITLEDEXAM_3_NAME_TITLEDEXAM_4_NAME_TITLEDd%<P   3 3"(( D}ADDITIONAL_INFODd%<P   3 3"(( ~D Phone_areaD Phone_first_3D phone_last_4zDFAX_AREAD FAX_FIRST_3~D FAX_LAST_4Dd%<P  3 3"(( DNAME_REQUESTORDd%<P  3 3"((DTRN_DATE_MONTHD TRN_DATE_DAYD TRN_DATE_YEARDd%<P  3 3"((DAPPROVAL_STAFF_NAMEDGEDTS_APPR_DT_MONTHDGEDTS_APPR_DT_DAYDGEDTS_APPR_DT_YEARDd%<P  3 3"((DCONTRACT_DT_MONTHDCONTRACT_DT_DAYDCONTRACT_DT_YEAR|D CENTER_IDDd%<P  3 3"((xDeCIVILIANxDeMILITARYzDe US_PRISONDe STATE_PRISONrDeOTHERD(TYPE_OTHER_DESCRDd%<P  3 3"(( i8@8 NormalCJ_HaJmH sH tH <A@< Default Paragraph Font*>@* Title$a$5\,, Header  !, @, Footer  !&)@!& Page Numbern nq H z z :ZtFG\;=NOP_a3HDXl79p} , . q r s w  . 0 < j k m     0000000000000000000000000000000@0000000000000000@0000000000000000000000000000000000@0 0000000;;;>  ^d^R !"#G *%17COUq} '39KW]z3?En~DPVXdjlx~  $05[gm    ? K N R ^ a e q v   , < L U a g  FFFFFFFFFG FFFFFFFFFG G FFFFFFFFFFFFFFFFFFFFFFG G G G G F(*>!8@(    C F. `4S`T4S`T B S  ? L8t@3 DATE_MONTHDATE_DAY DATE_YEARCONTRACTING_AGENCYAGENCY_ADDRESS AGENCY_CITY AGENCY_STATE AGENCY_ZIPAGNCY_ADMN_NAME_TITLCMPLNC_FRM_ATTACHED CENTER_NAMECENTER_ADDRESS OLE_LINK1 CENTER_CITY CENTER_STATE CENTER_ZIP EXAM_NAME_1 EXAM_TITLEADDRESS_IF_DIFFERENTIFDIF_CITY_STATE_ZIPBACHELORS_DEGREENOT_INSTRUCTIONALEXAM_2_NAME_TITLEEXAM_3_NAME_TITLEEXAM_4_NAME_TITLEADDITIONAL_INFO Phone_area Phone_first_3 phone_last_4FAX_AREA FAX_FIRST_3 FAX_LAST_4NAME_REQUESTORTRN_DATE_MONTH TRN_DATE_DAY TRN_DATE_YEARAPPROVAL_STAFF_NAMEGEDTS_APPR_DT_MONTHGEDTS_APPR_DT_DAYGEDTS_APPR_DT_YEAR OLE_LINK2CONTRACT_DT_MONTHCONTRACT_DT_DAYCONTRACT_DT_YEAR CENTER_IDCIVILIANMILITARY US_PRISON STATE_PRISONOTHERTYPE_OTHER_DESCR&Dr(L{4oEYm%\   @ S f   = V    !"#$%&'()*+,-./0128V :^FWk !6n  - O b w  - M h    & *  ) - m      m n u  ::::::%8CVq ':K^z3FnDWXkl !$6[n   ? O R b e w   - < M U h m |  busas[\\ace-fileserver\users$\busas\PROGRAM FORMS LIBRARY\Request to Establish Testing Center.docbusas\C:\Documents and Settings\busas\Desktop\ELVINS FORMS\Request to Establish Testing Center.docbusasm\\ace-fileserver\users$\busas\PROGRAM FORMS LIBRARY\L-75 Request to Establish Official GED Testing Center.docbusasm\\ace-fileserver\users$\busas\PROGRAM FORMS LIBRARY\L-75 Request to Establish Official GED Testing Center.docbusasm\\ace-fileserver\users$\busas\PROGRAM FORMS LIBRARY\L-75 Request to Establish Official GED Testing Center.docbusasm\\ace-fileserver\users$\BusaS\PROGRAM FORMS LIBRARY\L-75 Request to Establish Official GED Testing Center.docbusasm\\ace-fileserver\users$\BusaS\PROGRAM FORMS LIBRARY\L-75 Request to Establish Official GED Testing Center.docbusasm\\ace-fileserver\users$\BusaS\PROGRAM FORMS LIBRARY\L-75 Request to Establish Official GED Testing Center.docbusasm\\ace-fileserver\users$\BusaS\PROGRAM FORMS LIBRARY\L-75 Request to Establish Official GED Testing Center.docbusas\\ace-fileserver\users$\BusaS\PROGRAM FORMS LIBRARY\TEMPLATE VERSION\MS Word Fill-in Enabled Request Forms\L-75 Request to Establish Official GED Testing Center.dotFG @@{   @ 4@UnknownGz Times New Roman5Symbol3& z Arial9AdvHC39c"qh-#-#&l O!20d G2Q Test Compromise Information FormJonespbusasOh+'0 , H T ` lx!Test Compromise Information FormrosestJonespmoneoneNormalmbusasm2saMicrosoft Word 9.0o@@l@6? @6? l ՜.+,0 hp|  ACE  !Test Compromise Information Form Title  !"#$&'()*+,-./012345679:;<=>?@ABCDEFGHIJKLNOPQRSTVWXYZ[\_Root Entry F,b aData %$1Table8.)WordDocument"HSummaryInformation(MDocumentSummaryInformation8UCompObjjObjectPool,b ,b   FMicrosoft Word Document MSWordDocWord.Document.89q