Wufoo

Name * First Last
NECC ID #: *
Email *
Date of Birth * MM / DD / YYYY
Phone Number * ### - ### - ####
I want to take my Fundamentals Test: *
On campus Remotely at home

Remote testing must meet the testing and computer requirements outlined here
Do you need Testing Accommodations? *
Yes No

If you need accommodations for testing, contact the Learning Accommodations Center at lacenter@necc.mass.edu.
Check your payment method for the NECC Registration Fee: *
Destiny One online payment system Mail-in

The NECC Fundamentals Registration Fee is $35.

Destiny One online payment system is by credit card.

Mail-in: NECC, 100 Elliott St., Haverhill, MA 01830, Academic Placement & Testing, Attn: Donna Felisberto.
Electronic Signature *
Todays Date * MM / DD / YYYY
Do Not Fill This Out