Release of Placement Test Scores Request

Please complete the form below to request your placement test scores to be sent to another college or university*. This request form is for placement test scores scores only (ACCUPLACER, NC DAP, EdReady). Please allow 24-48 hours for processing. Test scores will not be released if a hold is on your account.

*Colleges and universities have different policies for accepting scores. Before submitting this request, please contact your transfer institution and inquire of their respective policy.

If you see this don't fill out this input box.

*Full Name

(Please enter the name which you used when originally tested)

Maiden Name

(If married or have changed your name, please provide your last name or maiden name if different from above)

*Date of Birth

(Please enter your date of birth - MM/DD/YYYY)

*Original Test Date

(Approximate date of testing)

*Student Email

student's personal email for confirmation that scores were sent

*Phone Number

(Your Current Phone Number in this format - 123-456-7890)

*Student Identification

Student ID number or last four digits of SSN

Which Test Score Are You Requesting?Placement Test

Please send my scores by:MailIssue to me in personE-mail

Recipient Email Address

If you chose to have your test scores sent by email, please provide the recipient's email address.

*Institution 1

Institution 2

Institution 3

Institution 4

Please enter the contact office or contact person, Institution name, address, city, state and zip code for your test scores to be released.

Student AuthorizationI authorize JCC to release a copy of my test scores