Accuplacer (Placement) Exam Request

Accuplacer (Placement) Exam Request
Review before continuing.*
Date*

MonthDayYear
Date
Redlands CC Student ID #:*
Student ID Number
Applied to Redlands *You must apply to Redlands before taking the Accuplacer *If no, please use this link to apply: https://admissions.redlandscc.edu/apply/*

Yes
Semester:*

Spring 2025Summer 2025Fall 2025
Student Type:*
Student Name:*

First NameLast Name
Date of Birth*

MonthDayYear
DOB
Email Address:*
Email
Phone Number:*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
High School:*
Current High School Attending
High School Counselor Email:*
Please input your high school counselor email address
Degree Pathway:*
Test(s) Needed:*

MathReadingWriting
Testing Format:*

On-Redlands CampusRemote Voucher SiteZoom (Only if you live 1+ hour away from Redlands campus)
Zoom Accuplacer tests are scheduled for the week after you submit this form. Please choose your preference of test day and check your email for your test-day confirmation and other important details. NOTE: You are expected to make sure your computer meets all technical requirements and to have Zoom already downloaded on your computer.
Select a Zoom Accuplacer Test Day - One Session per Request*
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Student Signature*
Should be Empty: