Proficiency Assessment Request Form Language SupportLanguage Support FAQ’sLanguage Support Course RegistrationProficiency AssessmentProficiency Assessment Request FormHome English Proficiency Assessment | Request Form Are you completing this form as the Student or Requesting Department?* Student Department Student Name* First Last UConn Peoplesoft Number 7 digits: XXXXXXXDate of Birth* Month Day Year Gender Female Male Country of Origin* Student Email Address* Department* Department Contact Name* Department Contact Email* English Proficiency test taken before?* TOEFL IELTS Duolingo Other None Test Score Who will pay the $45 proficiency assessment?* Student Department If the department is paying, please include a KFS Number. Questions or Comments?CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.