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I understand that the TSI Assessment is for all first
time students pursuing a degree or Level II certificate. I understand that if I am going into a
Workforce Level I certificate program, I do not have to test. STOP - this form is no longer valid - you must take the mandatory TSI Pre-Assessment Activity instead.
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I understand that there is a $30.00 exam fee which must
be paid before a reservation is made.
If I am late for my appointment time or miss the appointment, I
understand that I will forfeit the $30.00.
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I understand that all first-time CBC
students must complete a “Pre-Assessment
Activity” which consists of the following: Please
enter your initials in each field below – stating that you read and
understand each of the four areas of the “Pre-Assessment Activity”.
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Initials here: (1) the importance of this
assessment, [Based upon your scores on
the TSI Assessment – this will decide whether you are eligible for a college
level course or if you will need to take a developmental or preparation
course – which will not give you college credit. A developmental course will help you build
your skills so that you will eventually be able to take a college level
course. These courses give you a
foundation in the subject area that you need preparation in. The TSI Assessment exam is very important
and we want you to do as well as you possibly can.]
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Initials
here: (2) sample questions, [go to: http://www.coastalbend.edu/tsiresource/ for sample questions and other resources to help you prepare for the TSI
Assessment]
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Initials
here: (3) course options, and [Coastal Bend College offers various course options: NCBO - Non-Course Based Course - which is a non-semester length course delivered in an intense workshop setting, Integrated Course - which is a course that integrates two areas - such as Reading and Writing together so that a student gets two courses for the time and price of one course, Lecture courses (class-room style course
with instructor – face-to-face); Distance Learning courses (class-room
setting, but video cameras and microphones link you to other sites with other
students. The instructor may move
around from site-to-site to have face time with each area); Internet courses
(do your course work from home, but some courses may have you take a
proctored exam at a CBC site).
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Initials
here: (4) resources for students.
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A good site to review for additional information is http://www.coastalbend.edu/testingtips/
This is a good site if you need to work on how to prepare an essay response
and there are presentations that you can listen to from our former case managers.
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Please complete your Apply Texas Application at least a week in advance of when you plan to
take your TSI Assessment so that a CBC ID number is created for you to use
for testing. You will need the CBC ID number to take the TSI
Assessment exam if you will be a Coastal Bend College student.
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I am aware that I must have current picture
identification and CBC ID number or SSN if I will not be a CBC student - with me when I come in for testing.
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I understand that I am not allowed to bring
any electronic device (cell phone, smart watch, mp3 player, camera, etc…) into the testing
room. I will leave my personal items
in my vehicle, with a friend, or will leave the items at the designated storage area in the Testing Department. The personal items will be collected and stored at the owner’s risk. Coastal
Bend College will not be responsible for any items lost or stolen.
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I will report to the test center at least 30 minutes
before test time.
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I understand that seven working days are required for
re-scheduling.
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I understand that special test accommodations require
documentation and two weeks’ notice. TSI Accommodation Request Form http://www.coastalbend.edu/disabilityservices/
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I am aware that if I do not score at college level, I
will be required to take developmental courses.
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Section
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Score(s)
needed to place at College Level
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Course
Placement
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Reading Comprehension
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351
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College Level
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Writing
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Essay score of 4 and Writing Multiple Choice 340 OR Essay of a 5 or higher & Writing Multiple Choice less than 340 & ABE diagnostic level of at least a 4
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College Level
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Math
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350
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College Level
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I also understand that there are online resources
available from the CBC website. I
acknowledge that I have been encouraged to review them in an effort to help
me avoid remediation.
The web sites follows: http://www.coastalbend.edu/testingtips/ http://www.coastalbend.edu/tsiresource/
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By typing my name in the signature field, I agree to
abide by the above policies.
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Select the CBC site where you are making your reservation to test:
STOP - this form is no longer valid - you must take the mandatory TSI Pre-Assessment Activity instead.
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Printed Name of
Examinee - First name: Last name:
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E-mail Address
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CBC ID Number (If you don’t
have one & will be a CBC student –go to: Apply Texas Application - it will take a week to get a CBC ID number) in the meantime you may enter your SSN
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Phone Number
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Date
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Call the Beeville
Testing Department at (361) 354-2334 and pay the $30.00 fee with a credit card
and ask for the staff to e-mail you and the appropriate testing site a copy of
the receipt.
If you want a Remote Voucher (take the exam with another institution) - note that you must pay CBC the TSI fee and then pay the institution that you will test with a proctor fee. Also - in the receipt field below: enter Remote Voucher and the Beeville Receipt# along with location of where you will test - Example - Remote Voucher - Beeville # 999999 - Lone Star College.
The receipt # may be four (4) to six (6) digits long with a couple of letters at the beginning.
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Receipt # If you are with the TRIO Program and have received a Voucher stating that they are paying for your exam - enter the name of the TRIO Program above - Ex: Upward Bound / Upward Bound - Rural / ETS/ etc...
Amount Paid:
Name of CBC Employee that gave you receipt:
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. Be aware that the complete TSI Assessment can be one (1) to nine (9) hours in length. There are three section to the exam - Reading/Writing/ and Math. Each section could take 1 to 3 hours to complete - based upon the individual.
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Date Choice
for testing
If you will be testing remotely - then enter N/A in the field above.
If you cannot test remotely and must come to a CBC site for face-to-face testing, then you will do the following (Note that space is limited and face masks are required to be worn for the entirety of the exam session.):
You will need to first call 361-354-2334 to pay with your credit card, submit the TSI Contract electronically, and then go to the CBC Online Scheduling Site to schedule your exam.
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Please select the
areas of the TSI Assessment that you need to take:
STOP - this form is no longer valid - you must take the mandatory TSI Pre-Assessment Activity instead.
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Signature of
Examinee [When you hit submit on this form, this will serve as your electronic signature as if you were signing an official document.]
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I am agreeing to take the TSI Assessment at the Coastal Bend College when I submit this form.
STOP - this form is no longer valid - you must take the mandatory TSI Pre-Assessment Activity instead.
By entering my name above and my date of birth below - I am granting Coastal Bend College the ability to verify any other TSIA scores that I have in the Accuplacer Platform database if I tested at another institution. If a non-official copy of my TSIA scores from another institution are sent to the CBC Testing Department I am allowing them the right to verify the scores.
Here is my date of birth so that the records can be verified.
Due to COVID 19 - remote virtual proctoring through Examity - a proctoring service - is available. You will schedule with that company to schedule your exam after you receive your Remote Voucher Notification through e-mail from ACCUPLACER.
A second option is to request a CBC Proctored Remote Voucher - this will allow you to take one section at a time of the TSI exam in the safety of your home. Then you will make your appointment using the CBC Online Scheduling Site
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College Placement Testing Contract Form created – 11/26/13 Revised 11/13/20 (Coastal Bend College does not discriminate
on the basis of race, creed, color, national origin, gender, age, or
disability.)
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