Accuplacer Sign-Up

To sign-up for the Accuplacer ESL exam, fill out the form below. Please fill out all information accurately.

When you click SUBMIT, you will be redirected to a payment page for the $20 fee. After payment has been made, you will receive a voucher email from Accuplacer with the information to schedule your test with the Examity testing service.

Legal First Name*
Legal Last Name*
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
Date Format: MM slash DD slash YYYY

mm/dd/yyyy
Ethnicity*
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This field is for validation purposes and should be left unchanged.

If the name on the card being used for payment is different than your name, please enter your name in the Special Instructions box during checkout.