Student First Name*

 

Student Last Name*

 

Gender*

Male Female

 

Applicant Date of Birth (mm/dd/yyyy)*

 

Home Address*

 

City*

 

State*

 

ZIP*

 

Parent/Guardian Name*

 

Parent/Guardian Email Address*

 

School Currently Attending*

 

Current Grade*

 

Has the applicant ever been tested by a Child Study Team?*

Yes No

 

Does the applicant have an IEP, ISP, or 504 plan?*

Yes No

 

If yes, please describe the required accommodations:

High School Placement Test Session*

 

Saturday, February 21, 2026 at 8:00 am

 

You will receive a confirmation email within two business days of registering.