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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birthdate* MM slash DD slash YYYY Email* Phone*High School* Campus* Beloit Hays Beloit Test Dates (subject to change)*Please select a dateSeptember 19, 2023 12:30 PMSeptember 28, 2023 12:30 PMOctober 19, 2023 12:30 PMOctober 30, 2023 12:30 PMNovember 13, 2023 12:30 PMNovember 21, 2023 12:30 PMDecember 18, 2023 12:30 PMHays Test Dates*Please select a dateSeptember 6, 2023 10:00 amOctober 11, 2023 10:00 amNovember 15, 2023 10:00 amDecember 6, 2023 10:00 amNameThis field is for validation purposes and should be left unchanged. Δ