Chemistry Placement Exam Request

The Chemistry Placement Exam is Only Available on campus every
Friday at 1:00 PM (Except for Holidays).
Please schedule an appointment 48 hours in advance.
With a passing score of 20 or greater, you will be cleared into
CHEM G180: General Chemistry A
For cancellation or questions, please contact Annie Ly at aly@gwc.cccd.edu.

Student Information

Student ID #

First Name

Last Name

Student Email

Personal Email

Previous Last Name (if any)

Phone Number

Have you taken a college Chemistry placement exam within the past 3 years?

Yes

No

Please tell us more about your previous placement test experience.
Where, when, and why did you take the test?

Preferred Date:

Days Until Test Date

Student Signature