Get Testing Application Form 1101

Filling out the Testing Application Form 1101 online is a straightforward process that ensures you provide all necessary information for your testing application. This guide will help you navigate through each section of the form to ensure a complete submission.

Follow the steps to successfully complete your application online.

1. Press the ‘Get Form’ button to access the form and open it in your browser.
2. Begin by entering your name in the respective fields: last name, first name, middle name, and maiden/former name if applicable.
3. Fill in your home address accurately, including apartment number, city, state, and zip code.
4. Provide your home or cell phone number and your work phone number. Ensure all numbers are correct for contact purposes.
5. Enter your date of birth in the format requested, and include your email address. Note that your email authorizes D&S DT to send important information regarding your tests.
6. Select one of the options for your course completion. Either fill the fields for 'Didactic Course' or 'Radiography Course,' including the course name and ODH accreditation number. Don’t forget to attach the required documentation, such as your didactic course certificate or radiography school transcript.
7. Indicate whether you have previously taken the ODH GXMO Examination. If yes, provide the date of the last examination.
8. Complete the payment method section by selecting either a certified check, money order, or credit card. Provide all necessary billing details, including card number, expiration date, cardholder name, and signature if paying by credit card.
9. Choose your preferred test locations and corresponding dates, filling in both choice 1 and choice 2 carefully.
10. Review the declaration statement to confirm that all information is accurate and sign where indicated, as unsigned applications will be returned.
11. Once all sections are complete and verification is done, you can save changes, download, print, or share the form as required.

Complete your application online today to ensure a timely test scheduling!