Testing Services - Virtual - Accuplacer - Online Virtual Voucher Request

Please fill out the form below completely to be approved for a virtual Accuplacer voucher to test remotely. In the meantime please make sure to review the Meazure website to make sure your computer has the proper system requirements for virtual proctoring

After submission of this form, please allow up to 2 business days for you to receive your voucher in your email. Please note that this test will cost $28 paid to Meazure as a proctoring fee once you visit their site after receiving your voucher.

Student Information

First Name

Last Name

Preferred Name

A# / Columbia State Student ID

Columbia State Email Address

Email Address

Phone Number

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Accuplacer Test Information

What semester do you plan to attend Columbia State?

Is this your first time taking the Accuplacer and/or other placement tests (ACT, SAT, etc)?

Yes

I don't know

Which subjects do you need to test over (this will be reviewed by testing staff)? Select all that apply.

Reading

Writing

Math (Quantitative Reasoning)

Advanced Math Placement

Note: any placement score challenges and/or Accuplacer retakes do require an additional $25 administration fee. These fees will need to be paid to the business office after you submit this form. You can call the business office at 931-540-2530 giving your full name and A# telling them you will be challenging your placement.

Note: the Advanced Math Placement Accuplacer requires an additional $25 administration fee each time you take this test. These fees will need to be paid to the business office after you submit this form. You can call the business office at 931-540-2530 giving your full name and A# telling them you will be challenging your placement. You are only allowed to take the Advanced Math Placement Test twice.

Voucher Expiration Length (in days)