HPU Accuplacer Proctor Approval Form

Thank you for applying to proctor the HPU online placement test. When the application is approved, you will receive via email detailed test administration instructions, login information, and a password. Please fill out completely the form below. If you have questions regarding this form or online placement testing policies, please contact the HPU Center for Academic Success.

Email: assessment@hpu.edu
PH: (808) 544-9334

By submitting this application I accept the following terms:
1. All administration instructions and proctor guidelines are followed.
2. The test is administered in a suitable testing environment (basic requirements: computer with internet access in a quiet environment).
3. Testing site must be an institution (e.g. school, library, etc.). Cannot be the student's or proctor's residence or any private home.
4. Accuplacer tests materials, login codes, and passwords are not copied, re-used, or distributed.
5. The proctor's email must be an institution email (e.g. school, library, etc.). Cannot be a Free email account (e.g. HOTMAIL, YAHOO).

Name Name First Last
Title
Proctor's Relationship to Student
Proctor's Organization/Affiliation
Testing Site Name
Testing Site Address Testing Site Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Proctor's Phone Number: Proctor's Phone Number: - ### - ### ####
If international, please enter 000-000-0000 above. In this box, enter the full phone number including country code.
Email
Student's Name Student's Name First Last
HPU Student ID Number
Maximum of 9 characters allowed. Currently Entered: 1 characters.
e.g., @12345678
Student's Email
Planned Date of the Exam Planned Date of the Exam / MM / DD YYYY
Which exam does the student need? If unsure, choose "English and Math Combined."

Which exam does the student need? If unsure, choose "English and Math Combined." English Composition Mathematics English & Math Combined
By clicking I Agree, I accept the terms stated above

By clicking I Agree, I accept the terms stated above I Agree
Comments or questions? Please write them here: