Hagerstown Community College - Placement Test Scores Transfer Request
Please complete this form in order to transfer placement test scores. Incomplete forms will not be processed.
First Name *
First name
Your answer
Last Name *
Last name
Your answer
Institution Student ID Number
Student ID number of receiving institution
Your answer
HCC Student ID Number *
Your seven-digit HCC ID number
Your answer
Phone Number
Your answer
Date of Birth *
Your date of birth
Your answer
E-Mail Address *
Your answer
Institution *
Name of institution receiving scores
Your answer
Recipient's Name *
Name of person at institution receiving scores
Your answer
Fax Number *
Fax number of receiving person/institution
Your answer
Recipient's E-Mail *
E-mail address of receiving person/institution
Your answer
Confidentiality Agreement
By signing below (digital signature), you grant Hagerstown Community College express permission to transfer testing records to the educational institution addressed above.
Print Name Below *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms