Placement Test Score Request

There is a $25.00 processing/proctoring fee to send placement test scores to another institution. Scores will not be sent until payment has been received.

Some institutions consider test scores to be valid only for a specific duration. Please check prior to requesting your scores to confirm procedures from the receiving institution.

NIACC retains Placement Test results for three years.
Name*
First Last
Birth Date*
MM slash DD slash YYYY
Phone Number*
NIACC Student ID
Any former name(s)
Placement Tests to Send*
- Accuplacer
- ALEKS
Institution Name where scores will be sent*
How would you like the scores to be sent?*
- Mail
- Fax
- Email
Institution Address*
Street Address City State ZIP Code
Fax Number*
Email*
Payment Information
How would you like to submit payment?*
- Check
- Credit Card
Please mail $25.00 check to NIACC

Admissions Office
500 College Drive
Mason City, IA 50401
Placement Test Score Fee
Credit Card*

Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Information
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
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Payment Information