Placement Test Request

"*" indicates required fields

What term would you like to start in?*

What is your academic goal?*

Do you have a HS Diploma or a GED?*

Date of last school attendance?*

Do you have previous college credits?*

If you have college credits, have you taken Math and Writing?*

How would you like to test?*

Online

In Person

Please select which test(s) you need to take.*

Reading

Writing

Math

Student ID*

Providing a Student ID in the field above is best. If you do not have one, write "Future Student", "Parent", or whatever applies.

Name*

First Last

Email*

Cell*

Date of Birth*

Will you be receiving VA Education Benefits?*

Would you like to be on our email and texting lists?

Yes

Comments

This field is for validation purposes and should be left unchanged.

Umpqua Community College