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GED Testing Service of The American Council on Education One Dupont Circle, NW, Suite 250 Washington, DC 20036-1163 (202) 939-9490 Examiner Information Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      GEDTS Use Only - Date Received:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy mm / dd / yyyy  I recommend that  FORMCHECKBOX  Mrs.  FORMCHECKBOX  Ms.  FORMCHECKBOX  Mr.  FORMCHECKBOX  Dr. Last Name: FORMTEXT       First Name:  FORMTEXT        be authorized to serve as (check one):  FORMCHECKBOX  Chief Examiner / TCO  FORMCHECKBOX  Examiner / ALTCO at the following Official GED Testing Center: Center ID Number:  FORMTEXT        Center Name:  FORMTEXT        Address:  FORMTEXT        City:  FORMTEXT       State/Province/Territory:  FORMTEXT      ZIP/Postal Code:  FORMTEXT        E-mail:  FORMTEXT        Phone: ( FORMTEXT    ) -  FORMTEXT     -  FORMTEXT      Fax: ( FORMTEXT    ) -  FORMTEXT     -  FORMTEXT      Reason for Request  FORMCHECKBOX  The candidate is replacing:  FORMTEXT        FORMCHECKBOX  The candidaZn  ةsgUH3U(jxh:>*CJOJQJU^Jh:>*CJOJQJ^J"jh:>*CJOJQJU^Jh:CJOJQJ^Jh:CJ OJQJ^Jh:CJOJQJ^Jh:5CJOJQJ\^Jh:5CJOJQJ\^Jh:5CJOJQJ\^Jh:5CJOJQJ\^J!jh:OJQJU^Jh:OJQJ^Jjh:OJQJU^Jjh:CJUmHnHuZn n r N D%x pP ` $ L-DM ^L`a$L-DM ^L`$a$ $ L^La$\22z3    " $ & * , 2 4 H J L T V ֽֽֽ~ֽiֽ(jh:>*CJOJQJU^J(jh:>*CJOJQJU^J(jh:>*CJOJQJU^J(jh:>*CJOJQJU^Jh:>*CJOJQJ^Jh:CJOJQJ^J"jh:>*CJOJQJU^J-jh:>*CJOJQJU^JmHnHu!   : < l n p    ٵwfwUwD!j,h:OJQJU^J!jh:OJQJU^J!jDh:OJQJU^Jh:OJQJ^Jjh:OJQJU^Jjh:CJOJQJU^Jh:CJOJQJ^Jh:CJ OJQJh:>*CJOJQJ^J-jh:>*CJOJQJU^JmHnHu"jh:>*CJOJQJU^J(j"h:>*CJOJQJU^J " > @ B b d x z | " $ @ B D p r ʺʧʺ~qaP!jh:OJQJU^Jjh:CJOJQJU^Jh:>*CJOJQJ^J%jh:CJOJQJU^J*jh:CJOJQJU^JmHnHu%jh:CJOJQJU^Jjh:CJOJQJU^Jh:CJOJQJ^J!jh:OJQJU^Jh:OJQJ^Jjh:OJQJU^J 8:NPR\^`b~ʾʮʛuʮbVFʮj\ h:CJOJQJU^Jh:CJOJQJ^J%j h:CJOJQJU^Jj@ h:CJOJQJU^J*jh:CJOJQJU^JmHnHu%jh:CJOJQJU^Jjh:CJOJQJU^Jh:CJ OJQJ^Jh:CJOJQJ^Jh:OJQJ^Jjh:OJQJU^J!j8h:OJQJU^J `d< h!x$ L-DM ^L`a$L-DM ^L` P  8p x D%TVjlnvxܺܺܺܺܺܺqܺaܺjd h:CJOJQJU^J%j h:CJOJQJU^J%j h:CJOJQJU^J%j h:CJOJQJU^Jjr h:CJOJQJU^Jh:CJOJQJ^J*jh:CJOJQJU^JmHnHujh:CJOJQJU^J%j h:CJOJQJU^J *,.46>@TVX^`fh|~ܺܺܺܺܺܺqܺܺ^ܺ%jh:CJOJQJU^J%jh:CJOJQJU^J%jh:CJOJQJU^J%jh:CJOJQJU^Jj~h:CJOJQJU^Jh:CJOJQJ^J*jh:CJOJQJU^JmHnHujh:CJOJQJU^J%jh:CJOJQJU^J$<>@\^`ѻѻsiXsF"jh:>*CJOJQJU^J!j h:OJQJU^Jh:OJQJ^Jjh:OJQJU^Jh:CJOJQJ^Jh:5CJOJQJ\^Jh:CJ OJQJ^J%jh:CJOJQJU^J*jh:CJOJQJU^JmHnHujh:CJOJQJU^J%jh:CJOJQJU^Jh:CJOJQJ^J*N*P*J+L+h+j+l++++˴˩trbQ!jDh:OJQJU^Jjh:CJOJQJU^JU!jh:OJQJU^Jh:OJQJ^Jjh:OJQJU^Jh:CJOJQJ^Jh:>*OJQJ^J-jh:>*CJOJQJU^JmHnHu"jh:>*CJOJQJU^J(jh:>*CJOJQJU^Jh:>*CJOJQJ^Jte is an addition to the current staff  The candidate meets or exceed the qualifications necessary to perform the duties as outlined in the GED Examiner s Manual.  FORMCHECKBOX  Holds Bachelor s degree OR  FORMCHECKBOX  if Examiner holds Associate s degree or higher, must have three years experience in testing, teaching, training or counseling   FORMCHECKBOX  is not involved in instruction or preparation for the GED Tests.   FORMCHECKBOX  In-service training of the new staff member has been completed. Training Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy Name of Trainer:  FORMTEXT       Title:  FORMTEXT        FORMCHECKBOX  In-service training of the new staff member has been scheduled. Scheduled Training Date:  FORMTEXT    /  FORMTEXT    /  FORMTEXT      mm / dd / yyyy Name of Trainer:  FORMTEXT       Title:  FORMTEXT       GED Administrator This appointment has been approved by this office. Signature of GED Administrator Jurisdiction     *FORML10* Page 1 of 1 Revised 10/04 L-10 Testing Center Staff Appointment Dedicated FAX number for this form: (202) 464-4853 N*R*H++,,r-v-..f/h/00l1n1 h% h%  ! h ! h% h%  hh^h h!0x^`0 h! h!x+++,,,,,,,,r-t-v-x----:.<.P.R.T.X.ԺຩԙຈviTv=-jh:>*CJOJQJU^JmHnHu(jh:>*CJOJQJU^Jh:>*CJOJQJ^J"jh:>*CJOJQJU^J!jh:OJQJU^Jj|h:CJOJQJU^J!jh:OJQJU^Jh:OJQJ^JjVh:CJOJQJU^Jh:CJOJQJ^Jjh:OJQJU^J!jh:OJQJU^JX.Z.`.b.v.x.z.~.........../////&/(/*//R/T/V/`/b/f/h/ՔՊu`(jh:>*CJOJQJU^J(j.h:>*CJOJQJU^Jh:CJ OJQJ(jh:>*CJOJQJU^J-jh:>*CJOJQJU^JmHnHu(j(h:>*CJOJQJU^Jh:>*CJOJQJ^Jh:CJOJQJ^J"jh:>*CJOJQJU^J"h/j////@0B0V0X0Z0^0`0f0h0|0~00000000000001 1ʸʸjʸUKʸh:CJ OJQJ(jh:>*CJOJQJU^J(jRh:>*CJOJQJU^J-jh:>*CJOJQJU^JmHnHu(jh:>*CJOJQJU^Jh:>*CJOJQJ^J"jh:>*CJOJQJU^Jh:CJOJQJ^J!j4h:OJQJU^Jh:OJQJ^Jjh:OJQJU^J 11 1"1,1.101B1D1X1Z1\1f1h1l1n1p111122Z2\2^2b2d2h2j2n2p2t2˴˴xl`XTXTXTXThW-#jhW-#Uh+CJOJQJ^Jh:CJOJQJ^Jh:5CJOJQJ\^Jh:CJ OJQJ^J(jh:>*CJOJQJU^Jh:CJOJQJ^J-jh:>*CJOJQJU^JmHnHu"jh:>*CJOJQJU^J(jph:>*CJOJQJU^Jh:>*CJOJQJ^Jn1p11112\2`2b2f2h2l2n2r2t222223 !% h% P%x h%x$ L-DM ^L`a$L-DM ^L`t2222223t3x3z3|3侲h+CJOJQJ^Jh+h:5CJOJQJ\^Jh:5CJ$OJQJ\^JhW-#h:h:CJ OJQJ^Jh:CJOJQJ^J 3v3x3z3|3 h%,1h/ =!"#$#% xDeRESUBMITDSUBMIT_DATE_MONTHDSUBMIT_DATE_DAYDSUBMIT_DATE_YEARDRECD_DATE_MONTHD RECD_DATE_DAYDRECD_DATE_YEARDd%<P  3 3"((tDeCheck1tDeCheck2tDeCheck3tDeCheck4|D Last_nameDEXAM_FIRST_NAMEDd%<P  3 3"((DeCHIEF_EXAMINERDeGED_EXAMINER_ALTCO|D CENTER_IDDd%<P  3 3"((D( CENTER_NAMEDd%<P  3 3"((zD(ADDRESS1Dd%<P  3 3"((rDCITYtDSTATEpDZIPDd%<P  3 3"((~D2 EXAM_EMAILDd%<P  3 3"((~D PHONE_AREAD PHONE_1ST_3D PHONE_LST_4zDFAX_AREA|D FAX_1ST_3|D FAX_LST_4DeCANDIDATE_REPLACINGDREPLACING_NAMEDeADDITION_TO_STAFFDd%<P  3 3"((DeBACHELORS_DEGREEDeASSOCIATES_DEGREEDd%<P   3 3"((DeNOT_INSTRUCTIONALDd%<P   3 3"(( DeTRAINING_COMPLETEDTRN_DATE_MONTHD TRN_DATE_DAYD TRN_DATE_YEARD TRAINER_NAMED TRAINER_TITLEDetraining_scheduledDSCHED_TRN_DATE_MONTHDSCHED_TRN_DATE_DAYDSCHED_TRN_DATE_YEARDsched_trainer_nameDsched_trainer_title@@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontViV  Table Normal :V 44 la (k(No List 2>@2 Title$a$5\4@4 Header  !4 @4 Footer  !\ \_ DZn/oq8:[\^|~ /1km^xa{  6 8 9 ; < ? 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