Accuplacer Test

Please sign fill out the form to schedule an ACCUPLACER test day that is convenient for you.

ACCUPLACER Registration

Name*
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Birthdate*
MM slash DD slash YYYY
Email*
Phone*
High School*
Campus*
- Beloit
- Hays
Beloit Test Dates (subject to change)*
Hays Test Dates*
Name
This field is for validation purposes and should be left unchanged.