Accuplacer Request Form

Accuplacer Request Form
Thank you for requesting to schedule an Accuplacer Placement Exam. This is a proctored exam. Exams are offered virtually over Microsoft Teams and/or Zoom or in person on campus at Bottineau (DCB) or Minot (MSU).

Accuplacer exams are offered Monday through Thursday between 9am and 3pm CST. Please fill out the request below to schedule an exam. Once submitted a proctor will respond to the email provided. Students must use a laptop or desktop computer to complete the exam. Tablets and cellphones cannot be used as testing platforms.
School*
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Student ID (EMPL ID)
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accuplacer Exam Required*
Do you need accommodations?*

YesNo
Request exam day*

MondayTuesdayWednesdayThursday
Location*

On DCB CampusOver ZoomMinot
Download Zoom

You will need Zoom on your computer. Please be sure to download the Zoom App before your scheduled accuplacer.

Pease read the following requirements and check each statement.