FUSE Webassessor Info Form

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FUSE Webassessor Info Form

Information collected here will be used to activate FUSE approved Test Centers in Webassessor

Select an option from the drop down menu below*
Name of FUSE Proctor filling out this form*
First Last
Email of FUSE Proctor filling out this form*
FUSE Test Center Name*
Enter the name of your program/institution as it currently appears in Webassessor*
Do you need to update your program/institution name in Webassessor?*
- Yes
- No
Enter the new name of your program/institution*
Academic Affiliate*

If applicable
Test Center Main Contact*
First Last
Do you need to update your Main Contact Information in Webassessor?*
- Yes
- No
New Main Contact*
First Last
Main Contact Email*
Do you need to update your Main Contact's email address?*
- Yes
- No
New Main Contact email*
Main Contact Phone Number*
Do you need to update your Main Contact's phone number?*
- Yes
- No
New Main Contact Phone Number*
Testing Center Country*
- United States
- Canada
Address (This is where FUSE Testing will be taking place)*
Street Address Address Line 2 City State ZIP Code
Address (This is where FUSE Testing will be taking place)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you need to update your program/institution address in Webasessor?*
- Yes
- No
New Address - Please note that any changes to the address of your program/institution's address will need to be approved by the SAGES office by providing/emailing images of your new FUSE Testing space*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Important Location Information*
Any necessary logistical information not listed in Address line 2 to ensure the test-taker arrives in the correct location (parking garage location, turn by turn directions from the main lobby, phone number to call upon arrival, link to a campus map)
Do you need to update your Important Location Information?
- Yes
- No
New Location Information - Please note that depending on the changes to your program/institution's location information you may need to provide/email images of your new FUSE Testing space to the SAGES office for approval*
Any necessary logistical information not listed in Address to ensure the test-taker arrives in the correct location (parking garage location, turn by turn directions from the main lobby, phone number to call upon arrival, link to a campus map)
Email
This field is for validation purposes and should be left unchanged.

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