Request for Remote Accuplacer/TSI Form : Testing Evaluation and Measurement Center (TEMC) : Texas State University

Which exam do you need to take? *

TSI Assessment

Accuplacer Advanced Math Placement Assessment

Last name *

First name *

Date of birth *

City, state & zip code *

Texas State University student ID# (9 digits) *

Email address *

Phone number (with area code) *

City where you would like to test *

State where you would like to test *

In which subject areas do you need to test? *

English, Language Arts, and Reading

Math

Do you want to take the TSIA at home? *

Yes

No

Have you already spoken to a specific testing center about taking your TSI test there? *

Yes

No

Name of testing center

Phone number for testing center (with area code)

Person to contact at testing center

Email address for testing center

Have you already made an appointment to test? *

Yes

No

Date of appointment

Time of appointment

Please include any comments or extenuating circumstances that you think we should know about.