CLEP Exam Registration Form


First Name: _____________________________ Last Name: ____________________________

Today’s Date: ______/______/______                                Date of Birth: _____ /_____ /_____

Address: ______________________________________________________ Apt: ___________

City:  ­­_____________________________________ State: ___________ Zip Code: _________

Phone: (_______) _______-_______________ Email: __________________________________


Please circle the CLEP Exam that you will be taking:

American Government                                       Financial Accounting                                            Pre-calculus

American Literature                                           French Language I and II                                     Prin. Of Macroeconomics

Analyze and Interp. Lit.                                      German Language I and II                                   Prin. Of Management

Biology                                                                  Human Growth and Development                     Prin. Of Marketing

Calculus                                                                Humanities                                                            Prin. Of Microeconomics

Chemistry                                                              Info. Systems and Comp. App.                            Social Science and History

College Composition Modular                          Intro to Educational                                           Spanish Language I and II

     (formerly English Comp.)                                    Psychology

College Composition                                           Introductory Business Law                                 US History I: Early Col to

     (formerly Eng. Comp. with Essay)                                                                                                 1877

College Algebra                                                    Introductory Psychology                                    US Hist II: 1865 to present

College Mathematics                                          Introductory Sociology                                      West Civ. I: East to 1648

English Literature                                                Natural Sciences                                                 West Civ. II: 1648 to



Each exam is $80.00 and must be paid online through Each exam requires a $15.00 sitting fee per appointment paid to our testing site. You must pay by cash, check, or money order in advance in order to schedule for your exam (i.e. no walk-ins). You may pay in person (bring your CLEP Exam Registration Ticket) or mail in this form with the $15.00 payment in check or money order, the CLEP Exam Registration Ticket, and your contact information so that we may contact you to schedule your exam. The checks and money order can be made out to the University of Missouri-Kansas City (UMKC). No debit/credit cards are allowed nor can our office charge to a student account. The $15.00 sitting fee is non-transferable and non-refundable. You must pay another $15.00 in order to reschedule. Please provide your CLEP Exam Registration Ticket. You cannot test without it. You must provide a government issued, photo bearing, and signature bearing ID in order to test. Please check with your advisor at the school you are attending to make sure the CLEP credit is accepted.


I have read the information above: ________________________________________ Date: ­­___/___/___