Predicted

Score Submission Form

Predicted Score Submission Form

At NYU, we are pleased to consider a wide range of regional and national examinations to fulfill an applicant's standardized
testing requirement. A full list of approved examinations can be found on our website at admissions.nyu.edu/standardized-
tests.

If final results are unavailable at the time of application, predicted results may be submitted using this form, or your own
school form. Scores may be submitted in a sealed envelope, via email from an official school email, or uploaded in the
Common Application with transcripts.

Student Name

Name & Title of School Official

Common App ID

School Official Email

School Name

School Official Telephone

Exam Title

Results Release Date

Grading Scale (e.g. 1-100, A E)

Required Subject?
YES/NO

Subject Name

Level
(if applicable)

Predicted
Score/Grade

Total Score (if applicable):

Statement of Expectations
I affirm that these predictions are accurate to the best of my knowledge, and understand that final exam results will need to
be provided as soon as they are available. I understand that NYU reserves the right to withdraw an offer of admission if final
results are not within close range of the predicted results.

Please indicate: These predictions have / have not been shared with the student.

Signature of School Official

Date