WorkKeys Registration Form

Complete the form below to register. Once registration is received, personnel will contact you to schedule a test date.

Name Name First Last
Last four digits of SSN (or JWCC ID Number)
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number Phone Number - ### - ### ####
Email Address
Date of Birth Date of Birth / MM / DD YYYY
Gender

Gender Male Female
Have you ever taken courses at John Wood Community College?

Have you ever taken courses at John Wood Community College? Yes No
Are there any barriers that would prevent you from testing? (i.e. classroom location, seating requirements, vision impairments etc.)
Racial and Ethnic Survey

We are required by the State of Illinois to collect this information for statistical purposes. These items are required for registration to be complete.
Please identify your primary racial/ethnic group.

Please identify your primary racial/ethnic group. Asian American Indian or Alaskan Native Black or African American Hispanic or Latino White Native Hawaiian or Pacific Islander Choose not to respond/unknown
Are you from one or more of the following racial groups? (select all that apply)

Are you from one or more of the following racial groups? (select all that apply) Asian American Indian or Alaskan Native Black or African American White Native Hawaiian or Pacific Islander Choose not to respond/unknown
Are you Hispanic or Latino (OR are you of Spanish origin)?

Are you Hispanic or Latino (OR are you of Spanish origin)? Yes, I am Hispanic or Latino No, I am not Hispanic or Latino
Are you a citizen of the United States?

Are you a citizen of the United States? Yes No
Testing Area

Testing Area WorkKeys (All Types) - $50.00 Applied Math - $25.00 Work Place Documents - $25.00

WorkKeys Registration Form

WorkKeys Registration Form

Racial and Ethnic Survey