Online Distance Testing Registration Form

 Please Note:

   • Complete this registration form using your credit card. Be certain to provide one first choice date and one second choice date.

   • You may schedule one (1) examination per test date.

   • Once we receive your complete registration information, you will receive a confirmation of your scheduled test date.

 1.  Personal Information:

   Last Name First Name Middle Initial
   Street Address Apt. City State Zip Code
   Day Telephone Ext. Evening Telephone Cellular Phone
   Email Address Social Security Number Date of Birth (mm/dd/yyyy)
   Sex Height Color of Hair Color of Eyes
  Male     Female

 2.  Examinations Information:

   First Choice Test Date Time Second Choice Test Date Time
WPU Service Fee per exam

We will contact you to make any necessary arrangements before your test date.

Examination for which you are registering Institution Name
Check One Timing of Exam (length)
Computer   Paper   DSST (DANTES)

 3. Additional Information:

  Please indicate additional information, questions, comments below.

Terms and Conditions:

  • Administration fees are non-refundable.
  • Re-scheduling of appointment requires 48 hours notice to avoid a $15 re-scheduling fee.
  • No admittance once testing commences; re-scheduling of appointment will incur a fee of $15.
  • Must present a paper copy of William Paterson University admission ticket and appropriate photo ID.
  • Candidates must report to:
    William Paterson University Valley Road Campus
    1600 Valley Road - Room 1019
    Wayne, NJ 07470
  • Arrive 15 minutes prior to your scheduled appointment.

I agree to the terms and conditions.