Distance Learning Online
Registration Request

Please fill out all sections of this form, unless otherwise noted. Once submitted, someone from the testing center will contact you.

Your Name:
Contact Phone Number:
Contact Email:
Date(s) you would prefer to take the test:
Institution or Agency the test is for:
Any additional questions or information needed? (optional):

Please note, by submitting this form you are making a request.
We will respond, via email, within 72 business hours.

This form is to be used only to register for Distance Learning Tests.
To register for CLEP or MAT, please click here.