TSI Score Request Form

If you have taken the TSI Assessment at another college/university or in high school, use this form to grant our office permission to access your scores. If you have tested at more than one institution please submit this form once for each institution. Cross Institutional Reports are processed within 24-48 hours of request being submitted, and the scores are uploaded to your myUH account.
*** When completing this form please list the requested information as it is on file with the University of Houston Registrar’s Office. This information will be verified prior to processing if this information doesn’t match information that is on file additional documentation will be requested.

First Name:*
Last Name:*
Date of Birth:*  
Phone Number:*
Email Address:*
Name of the college,University, or High School where the TSI was administered :*
If your TSI was taken at a High School indicate the Independent School District it is part of (your request can not be processed without the school district if you tested at a high school):
ID Number at the institution where the exam was administered:(Optional)
In Accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), I permit the University of Houston to download my Texas Success Initiative Assessment results. This information includes demographic as well as test results as entered on the TSI exam. This authorization will remain in effect from the date it is executed until revoked by me in writing and delivered to the Educational Testing Services Department. I understand that submission of this form will serve as my electronic signature as if signing an official document.  
Full Name:*
Today's Date:*