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Placement Test Registration
There is a $10 fee for the test.
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* Indicates required question
Email
*
Your email
Student Information
First Name of Student
*
Your answer
Last Name of Student
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Please choose the Placement Test Date that will work best for you.
*
November 18th - 8:30 - 11:15 a.m.
December 16th - 8:30 - 11:15 a.m.
January 13th - 8:30 - 11:15 a.m.
February 10th - 8:30 - 11:15 a.m.
March 2nd - 8:30 - 11:15 a.m.
Other:
Parent and/or Legal Guardian Information
Father and/or Legal Guardian
*
Your answer
Father's Telephone Number
*
Your answer
Fathers' Email Address
*
Your answer
Mother and/or Legal Guardian
*
Your answer
Mother's Telephone Number
*
Your answer
Mother's Email Address
*
Your answer
Does your student have a Medical or Educational diagnosis that may affect his/her testing (for example, additional time, help with reading)?
*
Yes
No
Required
Does your student an Individualized Education Plan (IEP)?
*
Yes
No
Required
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