EmailMeForm
Release of ACCUPLACER Scores
Please fill out this form to request a copy of your ACCUPLACER scores.
If you need multiple copies of your scores, please submit a new form for each request. There is a $20 fee for each request.
Fields with '*' are required.
Name
*
First
MI
Last
Date of Birth
*
E-mail
Confirm
Phone
###
-
###
-
####
Social Security Number
*
Scores cannot be e-mailed or faxed. Please provide the contact person and mailing address where scores should be sent in the boxes below.
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Additional Comments
By clicking submit, I agree that I am the person listed above, and I authorize the College of Menominee Nation to release my ACCUPLACER Placement/Individual Scores Report to the address and/or e-mail provide above.
