Accuplacer Placement Scheduling Form Schedule your Accuplacer Placement Test Name* First Last Phone*Email* Are you taking the Accuplacer for Bemidji State University course placement?*YesNoBSU Student ID Number or StarID* Which institution are you taking the Accuplacer for?* Do you have an Accuplacer voucher for that institution?*YesNoVoucher* I will make sure to have a Accuplacer Voucher prior to my scheduled Accuplacer test.We are unable to administer the Accuplacer Placement Test for another institution without a voucher from that institution. Please make sure you work the institution requiring Accuplacer to obtain a voucher prior to your scheduled Accuplacer at BSU. Which Accuplacer Test(s) do you need to take? Select all that apply* Math Reading I don't know Requested Date of Test*Tests must be scheduled at least 2 business days in advance. This form will only allow advance scheduling. This is only a requested date. A confirmation email will be provided within 1 business day indicating if we are able to proctor your MM slash DD slash YYYY Requested Time of Test*Testing may only be scheduled during regular office hours: Monday - Friday 8:30-3:30pm. The office closes at 4:30 pm and all tests must be completed by that time. : Hours Minutes AM PM AM/PM Photo ID* I will have a photo ID available when I arrive for my testA photo ID is required at check-inCOVID-19 Impact on Test Proctoring Services. *PLEASE READ CAREFULLY* I have read the COVID-19 Impact on Test Proctoring statement below.Limited Testing Space We are limited to 6 testers at a time. Therefore the date and time you selected is only a requested date and time. We cannot guarantee this date and time will be available for you but we will do what we can to try to make it work. A staff person will be confirming with you or working to identify a date and time that will work within 1 business day of submitting your request. Health Screening Required. BSU requires all persons intending to visit campus to complete an online health screening before being admitted to a campus building. This can be completed online from the BSU website, www.bemidjistate.edu and click Health Screening Required Respiratory etiquette: Mask/Face Covering Requirement All employees, students and visitors (including testers) at Bemidji State University and Northwest Technical College MUST have a mask/face covering readily available at all times when on campus and MUST follow requirements outlined below. Required inside campus. Required outdoors in situations where social distancing (6 feet) is not possible. Exceptions: • Working with an approved reasonable accommodation • Alone in a private work space where others cannot enter (Private Testing Rooms are approved as private work space as long as there is no more than one person in the room) • Eating/drinking (in private work space, outside while social distancing, or in designated indoor eating areas with social distancing) • Alone in private dorm room If you arrive for your test without a mask/face covering, one will be provided for you at the front desk. Social Distancing Testers arriving for testing, will be asked to wait, with six (6) feet distance between other testers identified by large stickers on the floor, until the test proctor is available to check them in. Testers are testing in private testing rooms with one tester at a time. In the event that a tester is testing in the Student Success Center Learning Lab, testing stations have been adjusted to maintain six (6) feet of distance between testers. Cleaning and Sanitizing Each testing station will be cleaned and sanitized prior to and after each tester by staff in the Student Success Center at Bemidji State University. This includes routine cleaning of desks, any devises allowed or required for testing including calculator, computer (monitor, keyboard and mouse), etc. Scratch paper and writing utensil will be replaced for each tester and writing utensils will be cleaned and sanitized at the end of each day to be used the next day. Lockers used for testers will be cleaned and sanitized by staff after each use, both inside and out. CommentsIs there anything else you would like to share with us regarding scheduling your Accuplacer Placement Test, such as accommodations?