Request to Take the CPCC Placement Test at a Remote Location
NOTE: This form is for students who plan on attending CPCC. If you plan to take the Placement Test for a different school, please contact that school directly.
Today's Date *
MM
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DD
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YYYY
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Address *
Your answer
Student's Phone Number *
Your answer
CPCC Student ID Number *
Your answer
Student CPCC Email (Not Personal Email) *
Your answer
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