Accuplacer Accommodations Form

* indicates required field
Student ID	* You must include all 8 digits of your StudentID including the leading zeros.
Full Name (First, Middle and Last Name)	*
Preferred First Name	*
Phone
E-mail address	*
Campus	Albert Lea Austin Owatonna Online
Accommodations	Check all that apply Paper/Pencil Version Quiet Area Auditory Version Test Scribe
Other Accommodations

Suhai Boyer
Accessibility Services
507-379-3328
accessibility@riverland.edu

Penny Rosenthal
Director of Advocacy Services
507-433-0801