REQUEST TSI SCORES TAKEN AT ACC TO BE SENT TO ANOTHER SCHOOL
Please complete this form to give ACC Assessment and Testing permission to send your TSI scores to another College/University.

For questions call 512-262-6610 or email us at assessments@austincc.edu.  

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Email *
Last Name *
First Name *
Date of Birth *
MM
/
DD
/
YYYY
ACC ID or last 4 numbers of SSN *
Daytime Phone Number *
Exact name you used when you took the TSI (if different from above)
How would you like your TSI Assessment scores sent?
Name of Contact Person/College/Institution *
Address
Please provide complete mailing address (MUST include name, street, city, state, and zip code or your request will not be processed)
Email
If you would like your TSI Assessment scores emailed to another institution, please provide the email address, student eID (if applicable), and any additional information required by the institution.
PERMISSION: I authorize ACC Assessment and Testing to send my TSI Assessment scores to the individual/Institution listed on this form.   *
Required
A copy of your responses will be emailed to the address you provided.
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