Authorization/Declination for Optional TEM Certification Exams
If you are on financial aid and wish to take a certification exam, you MUST complete this form for financial aid to pay the exam fee. If you are not on financial aid but wish to pay for the certification offered with the course, you also must complete this form (may be available at a significant discount). The cost of the certification will be added to your tuition as a course fee.

Failure to show for your scheduled time in the BPCC Testing Center (D-203) will result in a loss of points in your course and possibly the voucher for the certification. For A & C session classes, the last day to modify your test time is May 5, 2014  For B session classes, the last day to modify your test time is March 3, 2014.

The last day that financial aid is guaranteed to cover the costs of your certifications for the following sessions:  Session A & B January 31, 2014| Session C March 21, 2014.  If a financial aid recipient begins attendance in class, but resigns or stops attending all classes before completing more than 60% of the semester, he/she will owe money to financial aid and BPCC.

For more information regarding certification exams required by the Division of Technology, Engineering, & Mathematics please visit http://www.bpcc.edu/tem/computertechnology/certifications.html.
*Required
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Please enter your full name below. *
example: Mary Jones
Please enter your BPCC student ID number. *
Please enter your Primary Phone number. *
example: 318-123-4567
Please enter your Alternative Phone number. *
example: 318-123-4567
Please enter your course and section numbers. *
example: CIS 205-101
Please enter your instructor's name. *
example: First and Last (ex. John Smith)
Please enter the applicable Semester *
This will be the semester in which you are currently registered. Example: Spring
Please enter the applicable Year. *
This will be the year in which you are currently registered. Example: 2013
Please provide your BPCC email address. *
How many certifications are you planning on taking during the session A-- this semester? *
example: If you plan on taking two then enter -2-.  NOTE: If you do not plan on taking any be sure to enter a -0-.
How many certifications are you planning on taking during the session B-- this semester? *
example: If you plan on taking two then enter -2-.  NOTE: If you do not plan on taking any be sure to enter a -0-.
How many certifications are you planning on taking during the session C-- this semester? *
example: If you plan on taking two then enter -2-.  NOTE: If you do not plan on taking any be sure to enter a -0-.
How many certifications are you planning on taking during the session J-- this semester? *
example: If you plan on taking two then enter -2-.  NOTE: If you do not plan on taking any be sure to enter a -0-.
Which certifications are you interested in taking this semester (we will charge your account accordingly): *
Required
Would you like to receive training software to prepare for you certification. Please select the type of training software you would like to receive (we will charge your account accordingly): *
Required
Please indicate below whether or not you wish to take the optional certification exam as part of your class. *
Date/Time student is signed up online to take Certification Exam(s):
example: 1/10/2013 2:30pm
Are you planning to graduate from BPCC this semester? *
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