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Student Authorization for Placement Score Release to an Outside Institution

Authorization to Release Student Assessment Information

MCC students can request to have their placement scores sent to another institution by contacting a Testing Center location listed below. MCC will provide an assessment score report free of charge to all Nebraska based educational institutions. Assessment score reports sent to out-of-state institutions require a $15 fee and can be paid for at any Student Services Cashier Office or by calling the Student Accounts Office at 531-622-2405 (7:30 a.m. - 5 p.m., Mon. through Fri. Debit or credit card only). Let them know that you would like to pay $15 for a Placement Score Report going to an out-of-state institution. The Student Accounts Staff Member will then ask several questions and you will need to read off your credit card information to finish the transaction.

Instructions for Completing the Authorization to Release Assessment Score Information Form

The student must:

  • Print and complete the Consent To Release Assessment Scores Form.

  • Pay $15 Score Report Fee (for an out-of-state institution) at any Student Services office or by phone if required.

  • Submit the form, payment receipt, and provide a valid government issued photo ID to a Testing Center staff member.

  • Must sign the completed form in the presence of a MCC Testing Center staff member.*

MCC Staff will:

  • Review the completed Consent To Release Assessment Scores request.

  • Sign and date the form prior to completing any forwarding actions .

  • Send the completed form to the testing Services Supervisor for files maintenance through intercampus mail or by  email.


  • The Student's signature must be notarized if the form was not signed in the presence of a MCC Testing Center Staff member (still must be verified with a valid photo ID).

  • Students must allow up to three (3) business days for their scores to be verified and forwarded to the educational institution/agency of their choice as indicated on their Consent To Release Assessment Scores Form.

MCC testing centers

Elkhorn Valley Testing Center

Campus Phone Number:

Fort Omaha Testing Center

MCC Email:
Campus Phone Number: 531-622-2204

Fremont Area Center

MCC Email:
Campus Phone Number: 531-622-3000

Sarpy Testing Center

MCC Email:
Campus Phone Number: 531-622-3803

South Omaha Testing Center

MCC Email:
Campus Phone Number: 531-622-4613