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HiSET Application to Test
This form is for ECCs, TCs, or Coordinators to use to get permission to schedule a student for a Hiset exam either in the community or in secure treatment.


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Student Information
What is the student's first name and last initial? *
What is the student's first name and last initial? *
Student's Age: *
Region: *
Location of Test *
Required
Does the student have an IEP *
Required
Does the student have a 504 plan? *
Required
Will the student need accommodations on the Hiset Exam?   *
Note: accommodations need to be requested at least six weeks before the test date
Required
Test Information
Test Language *
Required
Does the student have signed permission from parent/guardian, caseworker, ECC, and TC to enter the Hiset Concentration? *
If this isn't in place, you may not register the student to test.
Required
Where can I find a copy of the signed permission form? *
Required
If the student is under 18, is there a signed withdrawal letter from the students' school district on file? *
Letter must be submitted to DESE before student can be registered to test.
Required
Where can I find a copy of the signed withdrawal letter? *
Required
Has the student taken any part of the HiSET before? *
Required
If the student has taken the HiSET before, what were his or her scores?
Has the student ever been a "no show" for a scheduled HiSET exam? *
Required
If the student has been a "no show" for a scheduled HiSET exam, please explain the circumstances below.
Practice Test Information
Date of most recent practice test: *
MM
/
DD
/
YYYY
Format of most recent practice test *
Required
Math Practice Test Score *
Science Practice Test Score *
Social Studies Practice Test Score *
ELA - Reading Practice Test Score *
ELA - Writing Test Score *
Who scored the practice essay? *
Any comments or other pertinent information?
Name of Person filling out this form: *
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