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    Coastal Bend College – Testing Department - TSI Remote Voucher Request Form 

      

      

    Step 1:  You will need to find a test center close to you who is willing to administer the TSI exam using a Remote TSI Voucher.
     

    Step 2:  You’ll need to get the full-name of the institution along with location – example:  HCC-CE-Central.  Realize that the institution where you will be testing will charge a fee to proctor the exam. 

    Plus you will need to pay Coastal Bend College the TSI testing fee and fill out a TSI contract before a Remote TSI Voucher can be processed for you. 
     

    Step 3:  Call the Coastal Bend College Testing Department in Beeville – 361-354-2334/361-354-2244 to pay for your TSI fee and get your receipt#.  You will then go to the following website and fill out and submit the TSI Contract – www.coastalbend.edu/tsicontract/ in the receipt# field - enter your receipt # & enter “TSI Remote Voucher.” Each section of the exam is $10.00 with a 2% fee if you pay with your credit or debit card over the phone.   

    Remote Testing Center Information 

    Enter the name and location of the testing center where you want to test: 

       

    Remote Test Student Information 

    CBC Student ID#:   

       

    Last Name: 

       

    Date of Birth: 

       

    First Name:  

       

    Address – Street/PO/CR/ etc…. 

       

    City 

       

    State 

       

    Zip Code 

       

    E-mail Address 

       

    Home Phone #: 

       

    Cell Phone #:  

       

      Gender:   

       

    Ethnicity: 

       

      

      

    Select the area/(s) of the TSI you need to take:   

       

     

         

     

       

     Created 6/21/17  

     

     (Coastal Bend College does not discriminate on the basis of race, creed, color, national origin, gender, age, or disability.)