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:
Country: *
Institution: *
Address: *
City: *
State/Province:
Zip/Postal Code: *
Organization Type: *
If your site meets all the requirements to become an ETS Certified Test Administration Site, ETS will need to ship headsets and web cameras to you. Please provide the complete address of the location where DHL can deliver this equipment. P.O. Boxes are not acceptable.
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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