ACCUPLACER Reservation Form

ACCUPLACER Reservation Form

Bay Minette, Fairhope and Gulf Shores
Student Name

First NameLast Name
Coastal Student Number
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Coastal Alabama Student Email
example@example.com
IF YOU WISH TO TEST VIRTUALLY, PLEASE EMAIL THERESA.MCCLELLAND@COASTALALABAMA.EDU TO SCHEDULE YOUR TEST. OTHERWISE, PLEASE SELECT A TEST DATE/TIME OPTION BELOW
Please select location, date and time you wish to take the ACCUPLACER

May 24, 2021 - 9:00 a.m. - Bay Minette CampusMay 24, 2021 - 1:00 p.m. - Bay Minette CampusMay 26, 2021 - 9:00 a.m. - Bay Minette CampusMay 26, 2021 - 1:00 p.m. - Bay Minette CampusMay 27, 2021 - 9:00 a.m. - Bay Minette CampusMay 27, 2021 - 1:00 p.m. - Bay Minette CampusJune 2, 2021 - 9:00 a.m. - Bay Minette Campus
Should be Empty: