Testing Center
Speak Test Request		 UNIVERSITY OF UTAH
TESTING CENTER
STUDENT SERVICES BUILDING
201 S 1460 E RM 498
SALT LAKE CITY UT 84112-9059
  OFFICE: (801) 581-8733
  FAX: (801) 585-1932
  WEB: www.sa.utah.edu/testing
  EMAIL: testingcenter@sa.utah.edu
Instructions:
 
Department: Please provide a completed Speak Test Request to each candidate that you wish to be tested, and direct him or her to follow the instructions it contains. 

Candidate: Please bring this Speak Test Request and $75.00 to the Testing Center during regular business hours (Monday - Friday, 8:00 am - 5:00 pm) to pre-register for testing.  Upon pre-registering you will be assigned a test date and time, and given an admission ticket.
 
Department Information:
 
Department Name:
Contact Person: Title:
Campus Mail: E-Mail:
Phone Number: FAX Number:
Signature: Date:
 

Candidate Information:
 
Candidate Name:
Identification Number:
 

Testing Center Use Only:
 
Retake?   _____ Yes    _____ No Last Form Used:
Date of this Test: Form Used this Time: