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Test Request Form
 

To be completed by designated test proctor or candidate.

Test requests for written exams must be received at least 21 days prior to test date. If you're testing online, test requests require 72 business hours advance notice. There's a $25 fee for a Travel Career Development test, Exploring the World test, DS and LS retests. There is a $50 retest fee for CTA, CTC and CTIE.

 

1. Testing Information
Test Date
Number of candidates testing
TEST
Test type online test written test ($25 surcharge)
Is this a retest? yes    no
 
 
2. Proctor Information
(NOT required for BACKROADS and ST. PETERSBURG-CLEARWATER DS TESTS)

First Name of Proctor
Last Name of Proctor
Title
Email  (required if ordering online test)
Business Telephone
Proctor's Preferred Mailing Address Business Home
(note: UPS cannot deliver to an unattended Post Office Box.)
Company Name (optional)
Address
City
State
Zip
 
 

3. List of Candidates Testing

Please list the names and (and IATA or CLIA numbers, if applicable) of all the candidates testing. Total the number of candidates in the space provided and print a copy for your files.

 

Candidate Name

IATA#

CLIA#
01
02
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