A Picture Identification Card                                                                                                                   Reason for taking GED tests
(Driver’s License, passport, military,                                                                                                          (Please check one.)
or other forms of government ID that                                                                                                    _______To enroll in college
show name, address, date of birth,                                                                                                         _______For employment
signature, and photograph)                                                                                                                   _______Military Service
 will be required at time of testing.                                                                                                         _______Other
 

STATE BOARD
FOR COMMUNITY AND JUNIOR COLLEGES
GED RECORDS OFFICE 

Application for GED Tests
(Please Print or type) 

                                                                                                                        Date:____________________________ 

1.  Name of Applicant:________________________________________________________Sex:________________
                                 (Last)                     (First)                       (Middle)

2.  Mailing Address:_____________________________________________________________________________
    (P.O. Box or Street)                                 (City)                (State)             (Zip Code)

3.  Residence Address (if different):________________________________________________________________

4.  County you live in: ____________________________________________________________

5.  Telephone No.: (              )_________________   I have lived in Mississippi since   (Date):__________________
                        (Area Code)
6.  Date of Birth: ________-________-________                               Social Security No.:______-_______-______
                                  (Month)      (Day)       (Year)

7.  Are you presently enrolled in high school?   Yes_______    No______

8.  If no, give date dropped out of school:                                Month_____________ Day_________ Year_________ 

9.  Name of school last attended:___________________________________________________________________

10. Address of school last attended:__________________________________________________________________

11. Highest grade completed:__________  Year grade was completed:__________  No. of high school units:_______

12. Did you attend GED classes?    Yes_______  No_______      Where? ______________________________________ 13. I hereby authorize the high school listed above to release information from my school records.
14. The signatures below must be witnessed by a Notary Public.  (If not 18 or older the signature of a parent or legal guardian is required.)

____________________________________            __________________________________________
(Signature of Applicant)                                              (Signature of Parent or Legal Guardian) 

Sworn to me this _______ day of ____________,______   Signed:_____________________________________
                                                                                                                (Notary Public)

14. I  plan to take the test at ________________________________________________________________________
                                               (Name of testing center)

Directions:  (You should call for dates, times and specific test scheduling.  See Testing Centers list for contact phone number on this website.)

 

 
For additional information contact the local GED Testing Center or GED Records Office, State Board for Community and Junior Colleges, 3825 Ridgewood Road, Jackson, Mississippi.  Telephone No. AC(601)432-6338.