GED PARENTAL CONSENT FORM - Ohio Department of Education
GED PARENTAL CONSENT FORM - Ohio Department of Education
GED PARENTAL CONSENT FORM - Ohio Department of Education
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
NOTE: If you are 16 or 17 years <strong>of</strong> age, this form must be<br />
completed and sent to the <strong>GED</strong> Office with your<br />
Confirmation Form. (if you applied online)<br />
<strong>GED</strong> <strong>PARENTAL</strong> <strong>CONSENT</strong> <strong>FORM</strong><br />
I, _________________________ _________________________ ____________________<br />
Parent or Guardian Signature (if under 18) Parent or Guardian Printed Name Date<br />
Relationship to Applicant: Parent Guardian, (Please attach copy <strong>of</strong> court order appointing<br />
guardianship or emancipation.)<br />
grant consent for ____________________________________<br />
Print Applicant Name<br />
_____/_____/_______,<br />
Date <strong>of</strong> Birth<br />
________/_______/________, to take the Official General <strong>Education</strong> Development (<strong>GED</strong>) Test.<br />
Applicant ID # Student used on Test Application<br />
NOTARY:<br />
Subscribed before me in the City <strong>of</strong> _____________________________________ County <strong>of</strong><br />
________________________, State <strong>of</strong> ________________________, United States <strong>of</strong> America,<br />
this ________________ day <strong>of</strong> ____________________, 20________.<br />
____________________________________Notary Signature<br />
NOTARY PUBLIC STAMP<br />
My Commission Expiration Date: ____________________________<br />
If you applied online…<br />
Mail 1 copy <strong>of</strong> Confirmation Sheet with this completed form to:<br />
<strong>GED</strong> APPLICATION OFFICE<br />
25 S FRONT ST., 1 ST FLOOR<br />
COLUMBUS, OH 43215
<strong>GED</strong> AGE WAIVER<br />
NOTE: If you are 16, 17 or 18 years <strong>of</strong> age, the local school superintendent (or<br />
his/her designee) must complete this section before you take the Official <strong>GED</strong><br />
Test. The Superintendent/designee signing this form must be from the school<br />
district you last attended or from the school district where you currently reside.<br />
Applicant Name_____________________<br />
Date <strong>of</strong> Birth _____/____/_____<br />
Applicant ID # _______/________/__________<br />
(# Student used on Test Application)<br />
School District _________________________<br />
Name <strong>of</strong> School ________________________<br />
County ___________________<br />
City ______________________<br />
School Telephone # ( ) - IRN # _____________________<br />
(OHIO ONLY)<br />
I confirm the applicant was enrolled in this school district, and<br />
I confirm the applicant was <strong>of</strong>ficially withdrawn on _______ MONTH _______ DAY _______ YEAR,<br />
and I believe the General <strong>Education</strong> Development (<strong>GED</strong>) Test is in the applicant’s best interest at<br />
this time.<br />
I confirm the applicant has been home schooled in this school district.<br />
I confirm the applicant currently resides in this school district, but is not enrolled in this<br />
school district.<br />
_______________________________ _______________________ _______________<br />
Superintendent’s Signature Superintendent Printed Name Date<br />
If you applied online…<br />
Mail 1 copy <strong>of</strong> Confirmation Sheet with this completed form to:<br />
<strong>GED</strong> APPLICATION OFFICE<br />
25 S FRONT ST., 1 ST FLOOR<br />
COLUMBUS, OH 43215