Assessment Request

Request for Assessment

All assessments for ALL GRADE LEVELS must be requested TWO WEEKS IN ADVANCE and requested online by filling the following request:

[Fields marked with a red asterisk (*) are mandatory.]

Assessment Date *	--
Game Time *	--
Upgrade *

Present Grade*
R First Name*
R Last Name*
R E-mail*
Telephone No.*

AR1 First Name
AR1 Last Name
AR1 E-mail
AR1 Present Grade

AR2 First Name
AR2 Last Name
AR2 E-mail
AR2 Present Grade

Field Name, Number & Address*
Additional Instructions

If you already have your personal ID enter it here:

Once you hit "Submit Query", an email is automatically sent directly to Kelly Mock and Lee Popejoy.

MAIL PER DIEM CHECK IN THE AMOUNT OF $75 TO (must be received a week before the scheduled assessment date):

Cal South Corporate Office
c/o Danielle Bryant
1029 S. Placentia Avenue, Fullerton, CA 92831

For payment by credit card, please fill out this form, and either email or fax to 714.451.1016, Attn: Rebecca Nelson