Testing Fee Form
847-214-7219 / 7150
Student Information:
Social Security Number or ECC ID#_______________________ Date ____________
Name (Last) __________________________
_______________________________
________________________
(First) ________________________________
______________________
__________________
Address City/State/Zip
Phone Number - Area code DOB (month, day, year)
If you are not in our ECC computer system and only intend to take proctored tests at our
facility, you will need to complete this form, go to admissions for an ECC ID# before you
can test and/or pay. Admissions number 847-214-7385, Building B 110
You can pay the testing fees at Student Accounts by check, cash, or credit card.
Student Accounts - Main Campus Building B 151, 847-214-7380
Hours: Monday - Thursday 8 a.m. - 7 p.m., Friday 8 a.m. - 4:30 p.m., Closed Saturday.
Closed Fridays in the summer.
*Return this form to Testing with Proof of Payment (receipt) from Student
Accounts. 1700 Spartan Drive, Elgin, IL 60123, Building B Room 115
Please see Victoria Roush, Testing Director, 847-214-7219, if you have any questions.
FOR OFFICE USE ONLY - PLEASE NOTE ALL FEES ARE NON-REFUNDABLE
CLEP (TEST) ___ Fee $ _________________ NON-REFUNDABLE
Accuplacer or NIU Accuplacer Test (TEST) __ Fee $___________________ NON-
REFUNDABLE
Other School Test Fees (TEST) $____________________________ NON-REFUNDABLE
Student Accounts Receipt verified by: _____________________________________________
Testing Staff Signature
Date ______________________ Receipt Number ______________________________
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