Test Score Release Form

Full Name *

Student @ID/Comet ID, or Date of Birth *

Email Address *

Phone Number *

Send Scores by

Method to Send Scores (You must provide one of the following below) *

Email

Fax

Postal Service

School/Institute *

School Department or Contact *

Email Address

Fax Number

School Address

What score are you requesting? *

Placement Test

Nursing Entrance Exam

Other

Other requested score

Start date

End date

What campus did you take the test?

First Name