Virtual Testing Voucher Request

Hawkeye Website

Name*

First NameLast Name

Student ID (7 digits)*

Date of Birth*

Phone Number*

Please enter a valid phone number.

Email to send the voucher to*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Section(s) to Take*

Next-Generation ArithmeticNext-Generation Quantitative Reasoning, Algebra, and StatisticsNext-Generation ReadingNext-Generation Writing

Have you previously taken the checked section(s)?*

YesNo

Which Section(s) are you Retaking?*

Next-Generation ArithmeticNext-Generation Quantitative Reasoning, Algebra, and StatisticsNext-Generation ReadingNext-Generation Writing

A retest fee applies to each section being retaken and must be paid to the Hawkeye Business Office before a voucher can be issued through the proctoring service.

I understand that all retest fees must be paid to the Hawkeye Business Office before a voucher can be issued*

Yes

Paying Your Proctoring Service Fees

When taking the ACCUPLACER remotely, you'll need to pay the proctoring fee directly to the proctoring service—Hawkeye Community College does not process these payments.

If you need to take your exam within 72 hours, there will be an additional $5 fee.

You'll receive payment instructions in your voucher email, which will be sent to the email you provide on this form. If someone else is paying the proctoring fee for you, be sure to give them your voucher number, as they’ll need it when calling the proctoring service to make the payment

I understand that all proctoring service fees must be paid directly to the proctoring service.*

Yes