TEAS Registration Form

First

Middle

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Cell Phone Number

Campus where you will be testing

Beloit Campus

Hays Campus

Beloit Test Dates

Hays Test Dates

CAPTCHA

Math question 11 + 4 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Grow your grit