Scheduling and Forms

The first step in the scheduling process is to submit an email request for an ASLPI evaluation to:  ASLPI@gallaudet.edu.  Please include your name and for which program/purpose you are taking the ASLPI. You will be guided through the steps of the scheduling process. 

Required Forms:

For Examinee:

ASLPI Request Form

ASLPI Informed Consent / Video Record Release Form

Credit Card Payment Form  See Fees section

Payment Form for Proctor Fee  For Videophone ASLPI; See Fees section

For Proctor: (VP-ASLPI)

Proctor Agreement for VP-ASLPI    See Videophone ASLPIs section

If you are paying via check, make your check payable to Gallaudet University. Forms must be received at least one week prior to the interview date. They can be sent via fax, scanned to email or mailed to the address below.  
Alexis N. McKenzie
Support Services Specialist
ASL Diagnostic and Evaluation Services
Gallaudet University
Merrill Learning Center, 2200
Washington, DC  20002
Phone: (202) 651-5222
Videophone: (202) 250-2238
Fax: (202) 651-5880
Email: ASLPI@gallaudet.edu
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