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.

Jodie Cooper will contact you to confirm your appointment. If you have not received an email within 24 business hours, please contact her at jodiecooper@ladelta.edu or 318-367-6229.

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 9:00 A.M. on: