TSI Assessment
Score Release/Request Form

Created September 2019   ver1.0.5

  • This request will be emailed to Diane Milner at dmilner@tvcc.edu
  • This authorizes the retrieval of TSI Assessment Test scores taken at another Texas public school, college, or university other than Trinity Valley Community College.
  • ►   DO NOT use abbreviations (There are many schools with AISD, MISD, PISD, etc.)
    ►   All information must be complete
    ►   Partial or inaccurate forms cannot be processed.
  • Please allow up to 24 hours for this service.
  • Date:   4/18/2024
  • Request ID:     2808  
  • Last Name:
  •  *Required
  • First Name:
  •  *Required
  • MI:
  • Maiden Name (If applicable):
  • Student's Date of Birth:
  •  *Required
  • Student's Contact Phone:
  •  *Required
  • Student's Contact Email:
  •  *Required
  • TVIN or last 4 of Soc. Security Number :
  •  *Required
  • Name of High School / College / University tested:
  •  *Required
  • Town or School District where tested(complete name) :
  •  *Required
  • Nearby College to Testing Location:
  •  *Required
  • Requests will be processed when student’s ID is received.
  • Fax to: TESTING at (903) 675-6209
    Or email: dmilner@tvcc.edu or nancy.romans@tvcc.edu.

    ID may also be presented in person to the Testing Center.
  • Please Read and Acknowledge.
    • I authorize the release of my TSI Assessment scores taken at the above High School or College/University to Trinity Valley Community College through a state-wide database.

       *Required