Authorization to Release Assessment Test Data

This form is for students requesting to have their ACCUPLACER assessment testing data sent to a third party. Please allow three business days for this to be processed.

Please Note
Placements determined by the D2L Reading and English Assessment, Guided Self-Placement, and/or the Pearson MyMath Assessment are specific to Saint Paul College. Placement scores from these assessments may not be recognized at other MinnState Institutions.

Student ID *

First Name *

Last Name *

I hereby authorize Saint Paul College to release my assessment test scores to:

College/University *

Assessment Coordinator/Contact *

Email *

Student Signature (if under 18, signature of parent/guardian required) *

Please choose what placements you would like sent:

 

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Note: An asterisk (*) indicates a response is required.