TEAS Registration Form TEAS Test Name* First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Campus where you will be testing*BeloitHaysHays Test Dates*Select a dateBeloit Test Dates*Select a dateDecember 10, 2020 1:00 PMJanuary 18, 2021 1:00 PMJanuary 25, 2021 1:00 PMFebruary 1, 2021 1:00 PMFebruary 8, 2021 1:00 PMMarch 1, 2021 1:00 PMMarch 8, 2021 1:00 PMEmailThis field is for validation purposes and should be left unchanged. Questions or concerns? If you have additional questions about signing up for the TEAS test or these dates do not work with your schedule, please contact: Jayme Owen – Beloit Campus, jowen@ncktc.edu Jackie Haskell – Hays Campus, jhaskell@ncktc.edu
