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Distance Accuplacer Proctor Request Form
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Distance Accuplacer Proctor Request Form
Description of Accuplacer Tests
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Distance Accuplacer Proctor Request Form
To take the ACCUPLACER in your local community, you need to do the following:
Contact a local college or university testing center (
High Schools are not acceptable
). 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.
After you have been notified that your placement test has been sent to the proctor, you will have until the end of the month to take your test. After that time the information sent to the proctor will no longer be valid. Your test request can take 2 to 7 business days to process. Please do not submit requests on the last day of the month.
*Please fill in each text box completely.
Student Information:
*
First Name:
*
Last Name:
*
Email:
*
Student City/State:
City:
State:
UT
Outside US
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Student Country:
* Please fill in your country if outside of the United States
Country:
W Number
(if available):
*
Phone Number and Area Code:
Testing Proctor
Site
*
Name of Site, College, or University
*
Testing Site:
City:
State:
UT
Outside US
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Site Country:
* Please fill in your country if outside of the United States
Country:
*
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