Selective Enrollment Test Schedule Request
Submit your request to schedule a selective enrollment test. Please complete all required information to help us process your request efficiently.
Applicant's Full Name
*
First Name
Last Name
Applicant's Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Grade Level Applying For
*
Please Select
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Other
Preferred Test Date
*
-
Month
-
Day
Year
Date
Preferred Test Time
*
Hour Minutes
AM
PM
AM/PM Option
Preferred Test Location
*
Please Select
Main Campus
Downtown Center
East Branch
Virtual/Online
Other
Does the applicant require any special accommodations?
*
No
Yes (please specify below)
If yes, please describe the special accommodations needed
Test Language Preference
*
English
Spanish
Other
Has the applicant previously taken the selective enrollment test?
*
No
Yes
Additional Comments or Requests
Submit Request
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