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Release of Test Scores

Attention: Before completing this form, please verify with Testing Services that the test scores you are requesting are on file. Most scores are kept on file in Testing Services for three years. Please allow up to 24 business hours for processing after request is submitted.

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ACCUPLACER Placement Scores
ACT WorkKeys
ATI TEAS

Date test administered that is being requested *

Scores to be sent by (check one option only) *

School or Business Information

School or Business

Attention To

Address

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Zip Code

Fax Number

Email Address

Student Information

Student Name *

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Last

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Zip Code

Phone *

JALC Student ID *

Verification *

I verify that I am the above named student

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