German Language Exam Sign-Up Form


Today’s Date ______________________


NAME ___________________________________________________________


E-MAIL ADDRESS ______________________________________________


ADDRESS _______________________________________________________


PHONE NUMBER ______________________________________________


DEPARTMENT _________________________________________________


FIELD OF INTEREST ___________________________________________

(be specific – we will try to tailor the exam to your research interests)


DATE YOU WISH TO TAKE EXAM ____________________________


CIRCLES ONE:      Mastery Exam                 or                    Proficiency Exam





*Make a $20.00 check payable to the University of Virginia*

****We must receive payment when you submit this form****


Your exam must be either typed or neatly written. You may use a dictionary.  You can pick up your exam after 9:00am on the date you specified and you will need to return it by 4:30pm the same day – PLEDGED!!


If you are unable to take the exam you signed up for, you must notify the German Department at 924-3530 at least three working days prior to your scheduled exam date.  If you fail to do so, you will be required to sign up and pay for a separate exam.