Remote Test Request
This form should be used to request to take the ACCUPLACER Test virtually if you have received permission to test from your Academic Advisor. If you do not click Preview & Confirm or Save & Submit Later within 2 hours, your data will be lost.
Attention!
If you do not click Preview & Confirm or Save & Submit Later before the timer expires, your data will be lost.
note image Fields with * are required.
Have you completed an Application for Admission within the last year?
 
If you have not applied for admission, click the link below. Return to this form after completion.
Apply Here
 
What's your Status?
 
I am
 
Personal Information

 
First Name
Last Name
 
Address
City
 
State
Zip Code
 
Phone Number (xxx-xxx-xxxx)
Date of Birth (xx/xx/xxxx)
 
Email Address
 
Check the box below if English is not your first language and you wish to take the ESL test package.
 
Acknowledgement