AP EXAM REGISTRATION/PERMISSION FORM

MAY 4-15, 2015

LAST NAME: __________________________First________________________ GRADE:
WEEK ______
ONE

Morning Session
Afternoon Session
8 a.m.
12 noon
(Please Print Clearly!)
Phone number or e-mail address ________________________________
Monday, May 4
Chemistry
Psychology
Counselor_________________________

What exam(s) will you be taking? Please CIRCLE EACH of your preferences.

Tuesday, May 5

1. Calculus AB
2. Calculus BC

Wednesday, May English Literature and

6
Composition
WEEK TWO
Morning Session
Thursday, May 7
8 a.m.

Physics 1: Algebra Based

Friday, May
8 11
Monday,
May

U.S. History
Biology

Tuesday, May 12

US Government and Politics

Studio Art (Submitted by Date)

Studio Art: 2-D Design
Studio Art: Drawing

Afternoon Session
12 noon

Wednesday, May English Language and

13
Composition

Statistics

Thursday, May
14

World History

Macroeconomics

Friday, May 15

Microeconomics

Please Read Carefully:

(Check all that apply)
Check if you qualify for F/R Lunch
Check if you will be applying for a fee reduction
Check if you have a 504 Plan
Check if you have an IEP
*Check if you will be applying for a test
modification Due 2/13 (See the back of
this form for instructions)

The cost for each exam will be $45. This fee is

NON-REFUNDABLE.
Make checks payable to ISD 271

AP EXAM REGISTRATION/PERMISSION FORM

MAY 4-15, 2015
LAST NAME: __________________________First________________________ GRADE:
______
(Please Print Clearly!)
Phone number or e-mail address ________________________________
Counselor_________________________

What exam(s) will you be taking? Please CIRCLE EACH of your preferences.
AP Exams are offered for $10 for students who qualify for Free/Reduced Lunch, with
a maximum expense of $20.
A $15 per exam return fee will be charged if test is not used.

# of exams:
Total Due:

_____________
_____________

Turn this form into Mr. Batterman or Mrs. Hutchins in the Attendance Office.

DEADLINES:
AP APPLICATIONS DUE NO LATER THAN 3 PM ~ Thursday ~
MARCH 5th This is the last day of Finals. Forms should be
turned in earlier than this date.
*If you are applying for a test modification. This form
must be turned in by February 13th.
MANDATORY PRE-ADMINISTRATION MEETING: In April
DURING ADVISORY
By signing this form, I understand: My fee is not refundable. I am expected to
remain in the testing room until dismissed. I will at all times show respect for the
AP proctor. I have double-checked my exam selections and they are correct.

___________________________________________
Student signature

____________________
Date

___________________________________________
Parent signature

____________________
Date