ACCUPLACER Reservation Form

ACCUPLACER Reservation Form

Bay Minette, Fairhope and Gulf Shores
Student Name

First Name Last Name
Coastal Student Number
Date of Birth

- Month - Day Year
Date Date Picker Icon
Phone Number

Area Code Phone Number
Coastal Alabama Student Email
example@example.com
PLEASE MAKE SURE YOU KNOW YOUR STUDENT NUMBER, STUDENT EMAIL ADDRESS AND EMAIL PASSWORD IN ORDER TO PROPERLY SIGN IN.
Please select location, date and time you wish to take the ACCUPLACER

June 13, 2019 - 1 p.m. - GULF SHORES CAMPUS (DIVE) June 20, 2019 - 1 p.m. - BAY MINETTE CAMPUS (DIVE) June 25, 2019 - 9 a.m. - BAY MINETTE CAMPUS (DIVE) June 28, 2019 - 8 a.m. - FAIRHOPE CAMPUS (DIVE) July 25, 2019 - 9 a.m. - BAY MINETTE CAMPUS (DIVE) August 14, 2019 - 9 a.m. - BAY MINETTE CAMPUS August 14, 2019 - 1 p.m. - BAY MINETTE CAMPUS August 15, 2019 - 9 a.m. - BAY MINETTE CAMPUS
Should be Empty: