CLEP Exam Request Form

Name*
First Last
Student ID Number
If you are not a current MPTC student, please leave this box blank.
Date of Birth*
Date Format: MM slash DD slash YYYY
Please check the box that best describes you:*
- I have submitted a Moraine Park Technical College application for admission. (future MPTC student)
- I am taking courses at Moraine Park right now. (current MPTC student)
- I have previously taken courses at Moraine Park Technical College. (former MPTC student)
- I have not taken courses at Moraine Park Technical College and don’t plan to. (non-MPTC student)
CLEP Exam(s) I will be attempting:*
- College Composition Modular (multiple choice exam only, no essay required)
- College Composition (requires multiple choice exam and 2 additional essays)
- American Government
- History of the United States I
- History of the United States II
- Human Growth and Development
- Introduction to Educational Psychology
- Introductory Psychology
- Introductory Sociology
- Principles of Macroeconomics
- Principles of Microeconomics
- Social Sciences and History
- Western Civilization I
- Western Civilization II
- Biology
- Calculus
- Chemistry
- College Algebra
- College Mathematics
- Natural Sciences
- Precalculus
- Other - Click here if you don't see your CLEP test listed
Testing Date and Location*
Please allow 2 business days for MPTC to receive and process your CLEP Exam request.
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
I have reviewed MPTC Credit by CLEP Exam Guidelines as set forth on MPTC’s Credit by Exam webpage. I understand any exam fees are non-refundable and payment is due upon submission of Exam Request Form. I have also reviewed the College Board policies regarding CLEP testing as found here: https://clep.collegeboard.org/pdf/information-test-takers-bulletin.pdf*
- I acknowledge these guidelines.

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