BRTC ACCUPLACER Testing Request
Please submit this form to request to take the ACCUPLACER Test via ZOOM with a remote proctor. Students must have applied for admissions by testing date to be eligible for remote testing.

Students can test on a desktop or laptop.
Email address *
First Name *
Your answer
Middle Initial *
Your answer
Last Name *
Your answer
Street address *
Your answer
City, State, Zip *
Your answer
Phone # *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Last 4 digits of Social Security Number? *
Your answer
Have you graduated from high school or completed a GED? *
If you are still in High School, please list your high school name.
Your answer
Have you attended another college?
Enrollment Term *
Required
Gender *
Subjects *
Please select the subject areas you need to test. Select All or only individual subject areas if you do not need all 3 areas.
Required
Time preference *
The test proctor will contact you with your appointment date and time, but it is helpful to know your preference when scheduling your test time.
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