ACCUPLACER Remote Voucher Request Form

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Provide the following information to request remote placement testing. Due to the current COVID-19 pandemic, Accuplacer testing will be administered via Zoom with a proctor. Once you receive the remote voucher notification, please contact the Hale Kea Testing Center (808) 934-2540 to schedule an appointment and receive further instructions.
IMPORTANT NOTE: All remote testing will be administered via Zoom. Testers are required to create a Zoom account prior to scheduling appointment. Also, we request that you familiarize yourself with the program before your test date, proctors may not be able to provide any direct Zoom related support or tutorials.

First Name

Last Name

Current Mailing Address Street or PO BOX *

Mailing Address City *

Mailing Address Zip Code *

Email *

UH ID# *

Contact Phone Number *

Date of Birth *

YYYY

Gender *

Female

Male

Prefer not to say

Other:

Accuplacer Exam Overview: There are three sections included in the placement exam package: Reading, Writing and Math. Please indicate below if you are taking the entire package or only specific sections. I will be taking: *

All Three Sections (Reading, Writing & Math)

Math Only (For Math Placement Only)

Reading Only

Writing Only

Math & Reading

Math & Writing

Reading & Writing (For English Placement Only)

Advanced Algebra & Functions (For Placement into Advanced Math like Trig)

English as a Second Language (ESL)

Required

Please type your first and last name as the electronic signature

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