Coastal Bend College 
TRIO Program - TSIA2 Virtual Remote Voucher Request Form
(A person may take the  TSIA2 exam from their home with this option if they have a laptop or desktop computer with web camera and microphone along with good internet speed. The CBC TRIO staff member will proctor the exam.)  

 Coastal Bend College must have submitted proof of the TSIA2 Pre Assessment Activity and a TSIA2 Voucher from the TRIO Department – stating that they will use their units for the exam.  Contact your TRIO program to schedule a date for testing.  

Select your TRIO Program: 

 I understand that I must install the Microsoft Teams App on my device (laptop or desktop computer)    

  I have gone to the Accuplacer site checked the system requirements on my laptop/desktop computer.    

 I have valid and current Photo Identification.    

   I have reviewed the CBC Remote Proctoring Tester Information Page  

 

1. Yes
2. No

               

 

 CBC Student ID:    

 Last Name:      

 First Name:    

 Date of Birth:    

 Address:  Street/P.O. / C.R. / etc…..    

 City:    

 State:    

 Zip Code/Postal Code:    

 E-mail Address:    

 Home Phone #:      

 Cell Phone #:      

 Gender:      

 Ethnicity:      

   Select the area/(s) of the TSIA2 you need to take - be aware that for Virtual Remote Testing - you may only take one section at a time - since no breaks are allowed during testing and each section of the TSIA2 could be anywhere from one (1) to three (3) hours in length.   

Created 7/7/20
Revised 10/15/21