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Comira Testing Center Application Form

Company or Institution Name
Your Email Address
Your Name
Address 1
Address 2
City
State/Province/Region
Zip/Postal Code
Country
Telephone Number
Fax Number
Website URL
Charge for first hour and each additional hour
Is parking available?
Is public transportation available?
Type of Internet access  
Is there a secure area where candidates personal items can be secured, or lockers?
How many testing stations do you have?
What are the days and hours of operation for your facility?
Sunday  
Monday  
Tuesday  
Wednesday  
Thursday  
Friday  
Saturday  
Does each testing station meet the following requirements?
Printing capabilities  
Surveillance Method  
Adequate spacing between each computer?  
Handicap accessible?  
Accessible to restrooms?  

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