Functional Skills test notification form

All fields marked with * must be completed before submitting this form

Centre number*

Centre name*

Please select qualification*

Please select test*

Please select method of test*

Date of test*

DayMonthYear

Time test will start*

:HourMinutes

Please confirm the number of learners sitting the test*

Test venue address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Is this address a Pearson approved address or an alternative site?*

Test Manager - This is the person who will be responsible for the test on the day

Test Manager title*

Test Manager full name*

Test Manager last name*

Test Manager email*

myname@school.com

Test Manager phone number*

Area CodePhone Number

Remote inspection

If you are selected for a virtual inspection at your centre, and have received confirmation via email from Pearson Test Inspection team - please confirm the details of the person at your centre who should be set up with a user account (an Adobe account and a virtual inspection invite will be created for this person). To confirm, a user account will only be created if your centre is selected for a virtual inspection.

Will the named test manager (above) also be the person who will join the virtual inspection?

YesNo

Full name*

Email address*

Contact phone number (on the day)*

Area CodePhone Number

Platform planned to use for the remote inspection*

Form completed by*

We will not use this data for any Pearson products and services. Your personal data will be processed by Pearson in accordance with the General Data Protection Regulation (GDPR) and our Privacy Notice.