Mailing Address

Apartment #

City

State

Zip Code

E-Mail

Phone (Home)

Are you a Project Grad student?

Yes No

Are you a Dual Credit student? 

Yes No

Please select which class days you would like to attend.
Class Schedule: STRF   

Yes I have taken a test for TSI purposes
Yes, I have taken a TSI Alternative (If this is your choice, Answer Question A Below)
No, I haven't taken nor registered for a test for TSI purposes
I am exempt from testing (If this is your choice answer Question B Below)

Authorization Agreement

I authorize UH-Downtown to retrieve my TSI scores electronically from the National Evaluation Systems (NES)

Yes
No

Referred to our program by: UHD Website UHD Postcard UHD Poster UHD Faculty UHD Staff UHD Student High School Counselor College Counselor College Fair Other if other please specify