Language Assessments

Name of Client (required)—Please choose an option—City of ManassasFairfax CountyPrince William CountyTown of LeesburgOther

If Other, Enter Client Name

Name of Department (required)

Name of Division (required)

Name of Person Making Request (required)

Phone Number of Person Making Request (required)

Email of Person Making Request (required)

Name of Additional Person to be Copied on Request and Results

Email of Additional Person to be Copied on Request and Results

Name of Examinee (required) Examinee must be different from person making the request.

Employee ID Number (required)

Email of Examinee (required)

Type of Assessment (required)

ReadingSpeaking/ListeningWriting

Language to be Tested (required)

Method of Payment (required)
ACHCheckCredit CardP-Card

PO Number (if applicable) – DO NOT ENTER CREDIT CARD NUMBER

Name of Billing Contact Person (required)

Email of Billing Contact (required)

Additional Instructions -- Please designate here if a live or paper test is required, as online tests are the default in most cases.

Requests are typically processed within five business days after submission. All requests are billable once processed.