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Request Form:

Your email address

Subject

Description

Your Name (First & Last)

Your Phone # (XXX-XXX-XXXX)

Test Taker Age

Test Taker Name (First & Last)

Test Taker Date of Birth (MM/DD/YYYY)

Test Taker Email

The above test taker is eligible to take the High School Equivalency Exams based on the following exception:

GED ID (########-####-####)

HiSET ID (#AB###C#)

Name of Institution or Court referenced above

Name of Representative from Institution or Court (if different from above)

Representative Phone Number (if different from above)

Representative Email (if different from above)

Court ordered, Job Corps, Probation Officer, TJJD, DFPS?

The above test taker is eligible to take the High School Equivalency Exams based on the following exception:

I attest to the fact that I am the custodial parent/guardian of the minor identified in the test taker name field.

My son/daughter is not enrolled in school and has my permission to take the high school equivalency exam noted above.

TEA will verify non-enrollment. If it cannot be verified, we will contact you for further documentation.

If passing scores are achieved on the exams, I understand that a State of Texas Certificate of High School Equivalency will be issued.

I agree that TEA may provide my son/daughter's results and certificate status to the local education provider or college (if applicable).

Name of Institution or Court referenced above

Name of Representative from Institution or Court (if different from above)

Representative Phone Number (if different from above)

Representative Email (if different from above)

Attachments

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