Payment form for the book-based course exams

 

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Exam Taker Information

Details required for processing Continuing Education (CE) Credit. Please note that you will be asked for the billing name and address on the payment form.

Full Name  

Phone Number  

Email  

Title / Degree   Please let us know the exam taker's title or degree (education level), such as PhD, PsyD, MEd, MD, LCSW, etc. Please elaborate in the License Number field below if "Other" was chosen.

...PhDPsyDMDEdDMEdMFWMSWMPSMSMALMFTLCPLPCABPPGraduate StudentOTHER...

License Number Please let us know the exam taker's license number and the state in which the license is held.

Exam Taker Address

Address 1  

Address 2

City  

State   (If in the U.S.)

Please select one.None (outside the U.S.)AKALARAS (American Samoa)AZCACOCTDCDEFLGAGU (Guam)HIIAIDILINKSKYLAMAMDMEMIMNMOMP (Northern Mariana Islands)MSMTNCNDNENHNJNMNVNYOHOKORPAPR (Puerto Rico)RISCSDTNTXUTVAVI (U.S. Virgin Islands)VTWAWIWVWY

State/Province/Territory (If outside U.S.)

Zip/Postal Code  

Country Code

Order

Select the option below to order your online exam  

$135.00 - Interpreting the MMPI-3 book-based exam$135.00 - Assessing Police & Other Public Safety Personnel Using the MMPI-2-RF book-based exam$135.00 - Interpreting the MMPI-2-RF book-based exam$105.00 - Case Studies for Interpreting the MMPI-A-RF book-based exam$105.00 - Forensic Applications of the MMPI-2-RF book-based exam

How did you learn about this program?

Please select one or more of the following:  

Internet search University of Minnesota Press website E-mail from Pearson Assessments Social Media Colleague Other

If you chose OTHER, please specify: