Placement Test Reservation Form

Please complete the information below to reserve a seat for placement testing. All required fields are labeled with a red *
Before taking a placement test you must complete an online application form at Online Application.
You are reserving the placement test scheduled for Monday August 4,2014 Time: 4:00 PM.
First Name:*
Middle Initial:
Last Name:*
Date of Birth: (m/d/yyyy)*
Telephone Number (include area code)Home:* example: 252-222-6000
Email Address:*
Select Major:*