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Math Placement Exam Form

Greensburg Central Catholic Junior-Senior High School

All students entering 7th and 8th grade at Greensburg Central Catholic Junior-Senior High School, are required to take a math placement test. Please complete the form below.

Why?
The test is administered to ensure optimal math-level placement at Greensburg Central Catholic.

What does this mean for scheduling?
Performance on the math test and feedback from your current teachers determine where you are to be placed.

When is the test?

  • Saturday, May 16, 2020, 12:00 p.m.
  • Wednesday, May 20, 2020, 6:00 p.m.
  • Saturday, June 13, 2020, 12:00 p.m.
Please select who will be participating...
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First Student's Name

First Name*

Middle Name

Last Name*
First Student's Date of Birth*
I certify that I am 18 years of age or older
First Student's Signature*
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Parent or Guardian's Phone Number
Student's Current School

School Name and City/Town *
Exam Date
Please select a date for taking the exam.*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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