Accuplacer Remote Testing Voucher

1
What's your name?* This field is required.
First Name
Last Name
2
What is your UMHB ID Number?* This field is required.
3
What is your date of birth?* This field is required.
Date
Year
Month
Day
4
What is your UMHB email address?* This field is required.
example@example.com
5
Perfect! What's your phone number?* This field is required.
Area Code
Phone Number
6
In which city and state would you like to take the test?* This field is required.
7
Testing SiteCollege/University you wish to test at. If unknown, leave blank and a list of colleges in the city you provided will be emailed to you. You will need to reply to the email with the college of your choice.
Huge
Large
Normal
Small
Ok
Ok
8
Test Section* This field is required.
Reading
Math
Writing
WritePlacer (Essay)
9
Reason for Testing* This field is required.
Placement into a college level course.
Basic skills test for the Education department.
Should be Empty: