Request for Language Proficiency Test (for Non-Penn Students)

Upon submission of this form, you will have the option of paying your fee of $175 by credit card. Alternatively, you can opt to send a check in the mail to the Penn Language Center.

Contact Information

Name *

Email Address *

Phone Number *

School and Advisor

School *

Name of Academic Advisor *

Email Address of Academic Advisor *

Testing Arrangements

Select the Language for Proficiency Testing *

Name of Test Proctor *
or type "Penn Language Center" if taking at Penn

Email Address of Test Proctor *
or type "Penn Language Center" if taking at Penn

Phone Number of Test Proctor *
or type "Penn Language Center" if taking at Penn

Address Where Test Results Should be Sent *

Other Instructions

(*required fields)