TEAS Testing Sign-Up Request - Winnsboro Campus

Registration will close at noon the day before your test date; Proctor payment is also due at that time.

Magen Martin will contact you to confirm your appointment.

Date Date / MM / DD YYYY
Name Name First Last
Student Id # (L Number)

Must be 8 digits
Please list any other name in which you may be listed in LoLa, ie, maiden, middle, or nickname
This will be my ___________ attempt to take the TEAS.

This will be my ___________ attempt to take the TEAS. First Second Third
Email Address
Phone Phone - ### - ### ####
I would like to take my test at 9 a.m. on I would like to take my test at 9 a.m. on / MM / DD YYYY