Challenge Exam Request Form

Name*
First Last
Student ID Number
Date of Birth*
MM slash DD slash YYYY
Challenge Exam(s) I will be taking:*
- Computer Literacy
- Occupational Math 1
- Occupational Math 2
- Occupational Math 3
- Basic Anatomy
- General Anatomy & Physiology
- Medical Terminology
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.
Name
This field is for validation purposes and should be left unchanged.

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