Pima Math Placement Test Information Form - Department of Mathematics

Pima Math Placement Test Information Form
The University of Arizona
Summer Orientation 2008

Please use the information found on your UA Math Placement profile sheet to complete the following form. If you have ever been assigned a Pima Community College "A" number (PCC's student identification number), you will need that information as well.

First Name:
Last Name:
UA Student ID#:
Email Address:
Date of Birth:

Please select your Orientation date:

Which Math Readiness Test (MRT) did you take?

What is your current UA math placement code?

Have you taken any course at PCC before?

Do you have an "A" number assigned to you for Pima Community College? (This is PCC's student id number.)

If you have an "A" number assigned, please enter it here:

Are you planning to take the PCC Math Assessment in the morning?

By checking the following box, I agree to allow the UA and Pima Community College to exchange information about my math placement results.