Distance Accuplacer Proctor Request Form

	Distance Accuplacer Proctor Request Form
	Description of Accuplacer Tests
	Hours and Locations
	Assessment and Placement Standards
	Free Online English/Writing Help
	FREE Online Math Help

To take the ACCUPLACER in your local community, you need to do the following: Contact a local college or university testing center. Ask if they will proctor your assessment test. The testing center will need a computer with Internet access. Be sure the chosen proctor is willing to give a test lasting anywhere from 1-2-+ hours. Once you have located a site, complete the following form. This form will be automatically emailed to our office and we will notify the proctor with the needed information for your assessment test. There is a $10.00 fee per test, payable to Weber State University. This fee must be paid before the test can be setup. You will be notified by email once your proctored test has been setup. If you have already completed the form below and need to pay online, click here to go the Wildcard Marketplace. Choose the Accuplacer category on the left side of the main menu. *Please fill in each text box completely.
Student Information:
* First Name:
* Last Name:
* Email:
* Student City/State:	City: State:
W Number (if available):
* Phone Number and Area Code:
Testing Proctor Site
* Name of Site, Collage, or University
* Testing Site:	City: State:
*Proctor's Name: (First and Last)
* Proctor's Email:
* Proctor's Phone Number and Area Code:
*Which Test Are Your Taking?	Math English Both Math and English

Weber State University
Ogden, Utah 84408