BCCC Placement Test Reservation Form
Please complete the information below to reserve a seat for placement testing. All required fields are labeled with *. Before taking a placement test you must complete an online application form.
Date:
Time:
First Name:*
Last Name:*
Date of Birth: (m/d/yyy)*
Last Four of SS#*
Telephone Number example: 252-222-0000 (include area code) Home:*
Email Address:*
*indicates required information.