ASBOG EXAMINATION SCORE REQUEST

ASBOG®
EXAMINATION SCORE REQUEST
Candidate Name
Contact Information
Phone
E-mail
Address
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State(s) where taken:
SELECT BOARD STATE
Fundamentals of Geology
Examination Part:
Examination Administration:
Practice of Geology
Year
Year
Month
Month
Note: Examination scores are not released directly to examination candidates.
Send scores to the following ASBOG® State Member Board: SELECT BOARD STATE
A $10.00 processing fee, per request, applies. If paying by PayPal, there is a $2.00 service fee and please
email this form to ASBOG. If paying by Check, please make checks payable to ASBOG® and send along
with this original form to:
ASBOG®
Post Office Box 5219
Douglasville, GA 30154
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