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.