Please complete this form within the first three weeks of the term. The test and passwords must be provided
to Learning Ventures one week in advance of the test date.
* = Required field
Phone (w/Area Code)*
-- SELECT --
Test 1: Test date*
Test 2: Test date
Test 3: Test date
Test 4: Test date
Select all that apply, please be specific to address all instructors’ individual requests.
Completed tests will be emailed to Maureen.Strall@utoledo.edu or faxed to 419-530-2247, and emailed to each instructor.