Institutional Testing Services Print-based CBE Enrollment Form

Institutional Testing Print-based CBE Services Enrollment

Note:
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INSTRUCTIONS

This form has been created for use by school districts and educational service centers when ordering print-based CBEs in quantity. All exams ordered on this form will be sent to the address listed below. Please see that students get review material in time to study for their exams. Use this form to indicate the total number of exams you need for each subject area and total costs.
Reminder: Students may only take a CBE twice. If you are ordering for multiple campuses and would like the tests to be bundled together by campus, please use a separate Summary Form for each campus and complete the information at the top of each one.
No refunds will be granted for CBEs.

Test Date

COST INFORMATION

Print-based CBEs are $30.00 each and each order is shipped using FedEx 2-day delivery with no additional cost.

SHIPPING INFORMATION

Information must be completed by school district official.

School District Official Name Title

Educational Service Center or School District Name

Campus Address Street Address

Street Address Line 2

City County (TX only)

State / Province Postal / Zip Code

Phone

Contact Person's Name

E-mail Address

CONTACT INFORMATION

Information must be completed by school district official.

Copy Shipping Information

School District Official Name Title

Educational Service Center or School District Name

Address Street Address

Street Address Line 2

City County (TX only)

State / Province Postal / Zip Code

Phone

E-mail Address

SUMMARY FORMS

If you are an Educational Service Center ordering for multiple school districts, use one form per district. If you are a school district ordering for multiple campuses, use one form per campus. If you don’t need your exams sorted by districts or campuses, you may use only one form.

Summary Form 1

Sorting Options

Campus Name

Campus Address Street Address

Street Address Line 2

City County (TX only)

State / Province Postal / Zip Code

Print-based Credit By Exams

Name of Credit by Examination Number Needed Cost

1 CBE Name Number Needed Cost

2 CBE Name Number Needed Cost

3 CBE Name Number Needed Cost

4 CBE Name Number Needed Cost

5 CBE Name Number Needed Cost

6 CBE Name Number Needed Cost

7 CBE Name Number Needed Cost

8 CBE Name Number Needed Cost

9 CBE Name Number Needed Cost

10 CBE Name Number Needed Cost

11 CBE Name Number Needed Cost

12 CBE Name Number Needed Cost

13 CBE Name Number Needed Cost

14 CBE Name Number Needed Cost

15 CBE Name Number Needed Cost

Add CBE

Total

Add Summary Form

CBE Order Grand Total

Mailing Address:
Attention: TTU K-12
Texas Tech University
Box 42191
Lubbock, TX 79409

Physical Address:
Attention: TTU K-12
Drane Hall
Texas Tech University
2515 15th St.
Lubbock, TX 79415

TTU K-12 Email:
ttuk12@ttu.edu

Questions? Contact TTU K-12.

By clicking one of the following buttons, you are electronically authorizing this Institutional Testing Services Enrollment Form to be submitted.

Purchase Order Number