RETRIEVE TSI ASSESSMENT SCORES FORM

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NOTE: Do not complete this form if you only tested at ACC as those scores will upload to your ACC record automatically.

If you have taken the TSI Assessment exam within the last 5 years at a testing site OUTSIDE of Austin Community College, you may complete this form to give ACC Assessment and Testing permission to access your TSI scores.

Please note the information listed below MUST match the information you entered when you tested.
For questions call 512-262-6610 or email us at assessments@austincc.edu.

Email *

Last Name *

First Name *

Date of Birth *

YYYY

ACC ID (numbers only) or last 4 numbers of SSN *

Daytime Phone Number *

Name of the Texas High School/Institution you took the TSI Assessment

NOTE: Do not complete this form if you only tested at ACC as those scores will upload to your ACC record

HS District (for HS requests ONLY)

Exact name you used when you took the TSI (if different from above)

PERMISSION: I authorize and certify I am the owner of the TSI scores I am requesting ACC Assessment and Testing to retrieve from the institution listed on this form. The scores obtained will be applied to my ACC records for the purposes of course placement. *

I am the owner and give permission to ACC Assessment and Testing to retrieve my TSI scores.

Required

A copy of your responses will be emailed to the address you provided.

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