New TEAS Test Registration

Universal Training Institute

174 Jefferson Street, Perth Amboy, NJ 08861

TEAS Test Registration

Personal Data Part I

First Name

Last Name

Home Phone

Cell Phone

Street

Address Line 2

City

State/Province

Zip/Postcode

Country

Personal Data Part II

Social Security Number

Birth Date

Citizenship:

Ethnicity

Gender

Marital Status

Personal Data Part III

Have you ever been academically dismissed from, declared ineligible to attend or incurred action at any previous institution?

Have you ever been convicted of a criminal or military offense, excluding minor traffic violations?

Note:

If you answered "Yes" to any of the above questions, you may be required to attend a personal interview with an Administrative Representative for further evaluation.

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