Banner header image

Accuplacer Registration

Test Taker Information

First Name:

Last Name:

Date of Birth (MM/DD/YY):

Phone:

Email:

Confirm Email:

Select Test & Location:
Test Selection:
Select testing day:

July 2025

S	M	T	W	T	F	S
29	30	1	2	3	4	5
6	7	8	9	10	11	12
13	14	15	16	17	18	19
20	21	22	23	24	25	26
27	28	29	30	31	1	2
3	4	5	6	7	8	9

Select testing time:

Testing fee is $25.00.

Billing Information

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Visa

MasterCard

Credit Card Number:

Security Code:

Expiration Month:

Expiration Year: