The AcEPT test is a certificate that is recommended to be used as a graduation requirement besides TOEFL. There are differences between TOEFL and AcEPT. In terms of questions, AcEPT is different from TOEFL. TOEFL tests three language skills (listening, structure, and reading), while AcEPT tests five language skills (listening, vocabulary, structure, reading, and composing skills). This difference triggers learning difficulties for students in preparing themselves before the test. For this reason, course programs are followed to support adequate results. However, the course program has not carried out an adequate needs analysis of its students. For this reason, this research was conducted to analyze the needs of participants in the AcEPT test preparation course related to attitudes, difficulties, and participant needs. The research methods used were questionnaires and limited interviews. From the research conducted, course participants have a positive attitude towards English. The learning difficulties experienced include listening, vocabulary, and composing skills. For this reason, course participants need improvement in difficult aspects and training in productive skills (presentations and writing scientific essays), tips for working on questions, and AcEPT simulations once a week.