Off Campus Placement Testing Form

*Required Field

*First Name 
*Last Name 
*Date of Birth 
MCC Student ID 
*State     *Zip 
*Do you have access to a computer with a web camera and reliable internet access?
       Yes  No

If you identify yourself as a student with disability, all requests for accommodations must be made as early as possible, at least 30 days in advance of the need. Please note the Placement Test is an untimed examination. For further information regarding accommodations, please contact the Services for Students with Disabilities office or visit the website at

I understand that the ACCUPLACER Placement Testing scores will determine my course assessment at MCC. I have been advised to test only after I am well-rested and after a thorough review of the ACCUPLACER and/or ESOL study guidelines as offered on the ACCUPLACER and MCC Placement Testing Services web site.*