Certified Test Administration Site Application Form

To apply for the Certified Test Administration Site (CTAS) program, please complete this online form.

If you are responding to an e-mail or other correspondence from ETS, please include your Reference ID to expedite the application process.

Individual Profile

* Indicates Required Field
Reference ID:
(If applicable, Reference ID is located on notification letter.)
Prefix:
First Name: *
Last Name: *
Suffix:
Job Title: *
Department: *

Contact Information

E-mail Address: *
Phone Number with area code: *
Fax Number with area code: *

Job Responsibilities

Please indicate your role(s) in providing testing services within your organization. Supervise tests Yes No
Proctor tests Yes No
Other:
Please indicate your role in deciding whether your organization may participate in an ETS Certified Education Partner program. * I am the decision maker
I am one of the decision makers
I make recommendations to the decision maker(s)
I am not involved in the decision making
If you are not the sole decision maker, who else would be involved in determining your participation? Name:
E-Mail:

Organization Information

Test Site Address:
P.O. Boxes are not acceptable.
Country: *
Institution: *
Address: *
City: *
State/Province:
Zip/Postal Code: *
Organization Type: *
Country: *

First Name of Person to ship to:

 
Last Name of Person to ship to:  
Institution: *
Shipping Address: *
City: *
State/Province:
Zip/Postal Code: *

Relationship with ETS

Are you currently providing testing services for any ETS programs? Computer-based
The GRE® test
Other

Paper-based
The TOEFL test
The GRE test
The Praxis test
The TOEIC® test
The SAT® test
Other

Available Internet-Based Tests

Which Internet-Based Test(s) are you interested in administering at your site?
(Check all that apply.)

 TOEFL
Texas Examination of Educator Standards (FOR TEXAS ONLY)

Operational Profile

To conduct Internet-based tests, you will need to provide a secure room for approximately a 6-hour block of time. We expect tests to be administered in computer labs, language labs, or similar self-contained rooms. The computers used for administering ETS programs must run the Windows® 2000 or XP operating system, have access to the Internet, minimum monitor size of 15 inches and should be no more than 3 years old.

How many computer labs (or other secure rooms with computers) do you have available at some time for ETS test administrations? *
How many computers are available in each lab? *
Lab 1:
Lab 2:
Lab 3:
Lab 4:
Lab 5:
Lab 6:
All others:
ETS tests are typically administered on Fridays, Saturdays and Sundays. What is the availability of the computers in each lab? *
  Available Fri/Sat Hours per Day
Lab 1:
Lab 2:
Lab 3:
Lab 4:
Lab 5:
Lab 6:
All others:
Please identify any alternative days that these labs would be available.
On what date could you begin participating in ETS test administrations? / /
Do you have constituents for your own institution/organization that require TOEFL iBT testing?

Yes
No

Estimate number of Candidates:
If you are from a college or university, does your institution wish to receive TOEFL scores? * Yes
No
Our institution already has a DI code.
Would your institution be interested in participating in a pilot to sell ETS products and services? Yes
No

If you encounter difficulty submitting this form, please print and fax it to 609-683-2030.

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