Proficiency Exams
Application for Proficiency Examination(s)
For Summer 200__ Testing
For Fall 200__ Testing
For Spring 200__ Testing
Name _________________________ Social Sec # ________________
Telephone Number: Home _______________ Work _________________
Examinations to be taken (Core Courses Only):
Course Number Course Title
____________________________________________________________
Have you taken this test before? Please circle YES NO
_____________________________________________________________
Prefered date of testing for semester (see website options)
_____________________________________________________________
This application must be accompanied by a nonrefundable, nontransferrable fee of $30.00 per examination.
_________________________ ______________________________
Date Signature
A check or money order made payable to Rider University for $30.00 for each examination requested must accompany this form. This is a nonrefundable fee. Please return your check and this form to the Cashier's Office, Bart Luedeke Center, Rider University, 2083 Lawrenceville Road, Lawrenceville, NJ 08648-3099. Application Deadlines are:
March 27, for Summer
July 24, for Fall
December 5, for Spring
REMEMBER TO BRING SOME FORM OF PHOTO IDENTIFICATION WITH YOU TO THE EXAMINATION. (Driver's license is acceptable).
Syllabi are available to help prepare for proficiency exams by calling Angela at (609) 896-5127.







