Test Score Release Form
Full Name
*
First Name
Last Name
Student @ID, Comet ID, or Date of Birth
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Method to Send Scores
*
Email
Fax
Postal Service
School/Institute Name
*
School Department or Contact
*
Email Address
*
example@example.com
Fax Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What scores are you requesting to be released?
*
Placement Test
Nursing Entrance Exam
Other
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Which campus did you take the test on?
Flagstaff Lone Tree
Flagstaff Fourth Street
Page
Submit
Should be Empty: