ACCUPLACER/CASAS Report Request

To Request a Report:

Complete and submit this form. We will email or fax the requested report within 48 hours. Reports more than 3 years old are no longer considered valid; thus, your request will not be processed. If this is the case, a new assessment will need to be taken.

First Name *

Last Name *

Maiden or Other

Birthdate *

Month

Day

Year

Street Address *

Your Street Address

City *

State *

Zip Code *

Your Current Email Address *

Phone Number *

Report Being Requested *

ACCUPLACER

CASAS

Send My Report To:

Where does your report need to be sent? (Reports will NOT be sent to personal emails or individuals not associated with a training or educational program.)

Organization or Institution *

Individual Name *

Who is receiving this report?

Email or Fax Number *

Please provide a valid email or fax number of the above individual.

Organization Website *

Valid web address of the receiving organization or institution.

Steps to Apply

Ribbon Cutting for Advanced Technology Center

ACCUPLACER/CASAS Report Request

Achievement Center