Challenge Exam Request Form

Name*

First Last

Student ID Number

Date of Birth*

Challenge Exam(s) I will be taking:*

Testing Date and Location*

Please allow 2 business days for MPTC to receive and process your Challenge Exam request.

Email*

Phone*

I have reviewed MPTC Credit by Exam Guidelines as set forth on MPTC’s Credit by Exam webpage. I understand any testing fees are non-refundable and become my responsibility to pay once the charge has been placed on my MPTC student account.*

I acknowledge these guidelines.

Challenge Exam Request Form

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