C O M P A S S / E S... R e m o t e S i...

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COMPASS/ESL Placement Test
Remote Site Registration Form
NOTE:
Student must have completed an application to the College prior to submitting Remote Site Registration form.
Complete this form and e-mail to [email protected]
Date:
Name:
Last
First
Middle Initial
Date of Birth:
M/D/YYYY
Mailing Address:
Street
City
State
Zip Code
Telephone Number:
Primary
Secondary
E-mail Address:
Cougar/Student ID #:
(Note: This is NOT your SSN)
7-digit number
Location for testing:
College/University or ACT Testing Center
Address
City
State
I have a high school or home school diploma
I am still in high school or home school program
Zip Code
I have a GED
I do not have a GED or high school diploma
1. Have you applied to Columbus State Community College?
Yes
No
2. Is American English your native language (learned in the United States)?
Yes
No
9
10
If Yes, answer questions 5 through 7.
If No, answer questions 3 through 7.
3. In what country did you learn English?
4. Select EACH grade you completed in an American school system:
1
2
3
4
5
6
7
5. Have you taken the ACT test within the past 2 years?
Yes
No
6.
8
11
12
If Yes, you can submit your ACT scores in place of one or more parts of the COMPASS test. ACT cut scores must be met
in English (18), Reading (21), Math (22). Access your scores at www.actstudent.org and e-mail to [email protected]
Do you have transfer credit for English and/or Math from a previous college?
Yes
No
If Yes, you must submit a copy of your college’s transcript/grades to [email protected]
7. Have you taken English and/or Math classes through Columbus State?
Yes
No
COMPASS Test Mode:
Date Received/Staff Initials:
Revised 06/30/2014
W
ESL E-Write
CS CC
St af f
M
ESL R/G
R
On l y
RETEST
Date Processed/Staff Initials:
W
M
R
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