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Field Test Site Form

Please complete and submit the following information to express your interest to be a field test site for Skill Connect Assessments. For definitions of population categories and user groups, scroll down to the bottom of the page. This form may be submitted multiple times as additional assessments are available for field testing.



Site Name: *
Contact Name: *
Address *
City *

Select State:

Zip Code:
Phone:
Fax:
Email:
Based off the following table, what is your population category?


Are 20 computers available for testing at any given time?

If not, how many computers would be available for testing?
Please provide information about the assessment groups you are interested in supporting. Sites may test more than one assessment and need not (but preferably would) provide all four groups for each assessment. Please populate each field with the number of students that you anticipate for each category.

Expert1st Year2nd YearControl
Automated Manufacturing
Commercial Baking
Computer Maintenance
Cosmetology
Employability (Secondary)
Employability (Post-Secondary)
Internetworking
Nail Care
Welding