COSMETOLOGY ACCUPLACER
REGISTRATION FORM
AND INSTRUCTION SHEET
$5.00
fee
Cash,
Checks or Money Orders, payable to SPC
Date of
test ________________________________
Time of
Test:_______________________ ________
Name:
___________________________________ Date:
____________________________________
Mailing Address:
Social Security #: ___________________________ E-mail Address:
_____________________________
Home/Work Telephone: _________________________ /______________________________________
Instructions:
__________________________________________________________________________________________
THE TEST
FEE IS NON-REFUNDABLE AND NON-TRANSFERABLE.
IF YOU DO NOT SHOW UP FOR YOUR ASSIGNED TEST, YOU WILL HAVE TO
RE-REGISTER AND PAY THE TESTING FEE AGAIN.
I AGREE NOT TO ENGAGE IN ANY UNETHICAL BEHAVIOR DURING THE TEST
ADMINISTRATION. I UNDERSTAND THAT IF I
FAIL TO FOLLOW THESE INSTRUCTIONS THAT I WILL BE DISMISSED FROM THE TESTING
SITE, MY SCORES CANCELLED, AND A REPORT CONCERNING MY BEHAVIOR WILL BE
FORWARDED TO THE COSMETOLOGY PROGRAM.
TEST IRREGULARITIES MUST BE REPORTED IMMEDIATELY AND WILL BE HANDLED ON
AN INDIVIDUAL BASIS. I AGREE TO KEEP
THE FOLLOWING CONFIDENTIAL: ALL TEST
QUESTIONS, TESTING METHODOLOGY AND TEST RESULTS. I UNDERSTAND TO VIOLATE CONFIDENTIALITY WILL
MAKE ME INELIGIBLE FOR ADMISSION.
_______________________________
Applicant’s Signature
Return to:
Attention: Juli Wood, Box Z