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
Phone Number

Area Code Phone 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 19, 2021 - 9:00 a.m. - Bay Minette Campus May 19, 2021 - 1:00 p.m. - Bay Minette Campus May 20, 2021 - 10:00 a.m. - Gulf Shores Campus May 24, 2021 - 9:00 a.m. - Bay Minette Campus May 24, 2021 - 1:00 p.m. - Bay Minette Campus May 26, 2021 - 9:00 a.m. - Bay Minette Campus May 26, 2021 - 1:00 p.m. - Bay Minette Campus May 27, 2021 - 9:00 a.m. - Bay Minette Campus May 27, 2021 - 1:00 p.m. - Bay Minette Campus
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