ACT-SAT-Form_online
-114300-47625Placement Request Form SAT / ACTSAT (2016)TestScorePlacement LevelSAT Evidence-Based Reading and Writing480Reading 5, Writing 6SAT Reading Test24Reading 5SAT Writing and Language Test25Writing 6SAT Math (no more than TWO years old)550620690Math 6Math 7Math 9Old SAT (prior to 2016) - Critical Reading 430 = Reading 5/Writing 6.ACTTestScorePlacement LevelACT Reading18Reading 5ACT English18Writing 6ACT Math (no more than TWO years old)222629Math 6Math 7Math 9RETURN TO: Placement Testing Center, Gannon Building StarZoneMail:1541-Testing ServicesLansing Community CollegeP.O. Box 40010Lansing, MI 48901-7210Online Form:lcc.edu/assessment/act-satEmail:lcc-assessment@lcc.eduFax: 517-267-5505Submitted SAT or ACT scores below the above cut-scores for reading and writing will still likely result in placement levels. However, placement testing is still advised as it may result in higher levels.Placement testing information and sample questions can be found at lcc.edu/testingYou must attach documentation showing your ACT or SAT scoresPlease completely fill out the section below and return with documentation (mail, fax, email, in person). A confirmation email containing your placement information will be sent to the email address provided below.Name: FORMTEXT ?????LCC student #: FORMTEXT ?????Date of birth: FORMTEXT ?????Today’s Date: FORMTEXT ?????Contact e-mail: FORMTEXT ?????Phone: FORMTEXT ?????Address (Street, City, State, Zip): FORMTEXT ?????…………………………………………………………………………………………………………………………………………….S T A F F U S E O N L YStaff entering: ____________________Date: __________Student informed? (Y/N) Date: __________ ................
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