Test Center Reimbursement You must have used a Modern States CLEP voucher to receive a test center reimbursement. Modern States must also receive a copy of your CLEP exam score. Please note, it takes approximately 8-10 weeks to process a reimbursement request. Name* First Last Country of residence*I live in the United StatesI live in CanadaI live in another countryAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* PhoneExam(s) Taken*American GovernmentAmerican LiteratureAnalyzing and Interpreting LiteratureBiologyCalculusChemistryCollege AlgebraCollege CompositionCollege Composition ModularCollege MathematicsEnglish LiteratureFinancial AccountingFrench LanguageGerman LanguageHistory of the United States IHistory of the United States IIHuman Growth and DevelopmentHumanitiesInformation SystemsIntroduction to Educational PsychologyIntroductory Business LawIntroductory PsychologyIntroductory SociologyNatural SciencesPrecalculusPrinciples of MacroeconomicsPrinciples of ManagementPrinciples of MarketingPrinciples of MicroeconomicsSocial Sciences and HistorySpanish LanguageWestern Civilization I: Ancient Near East to 1648Western Civilization II: 1648 to the PresentHold the CTRL key (COMMAND on a Mac) and click the exams to select them. Please select all of the exams you are requesting reimbursement for. Click any item again to deselect it. Remember to keep the CTRL/COMMAND key pressed.Exam Taken*Select a CourseAmerican GovernmentAmerican LiteratureAnalyzing and Interpreting LiteratureBiologyCalculusChemistryCollege AlgebraCollege CompositionCollege Composition ModularCollege MathematicsEnglish LiteratureFinancial AccountingFrench LanguageGerman LanguageHistory of the United States IHistory of the United States IIHuman Growth and DevelopmentHumanitiesInformation SystemsIntroduction to Educational PsychologyIntroductory Business LawIntroductory PsychologyIntroductory SociologyNatural SciencesPrecalculusPrinciples of MacroeconomicsPrinciples of ManagementPrinciples of MarketingPrinciples of MicroeconomicsSocial Sciences and HistorySpanish LanguageWestern Civilization I: Ancient Near East to 1648Western Civilization II: 1648 to the PresentSecond attempt to obtain the required score on this exam? Yes, this is my second attempt SUNY Student / Prospective SUNY Student? I am a SUNY Student/I am a New York State Resident who wants to attend a SUNY College or University Purdue Fast Start Program? I am a participant in or want to participate in the Purdue Fast Start Program Test Center Fee ($)*Attached Receipt(s)* Drop files here or Accepted file types: jpg, jpeg, gif, png, bmp, tiff, pdf. Exam ScoreCandidate Score ReportAccepted file types: jpg, jpeg, gif, png, bmp, tiff, pdf.Voucher Number*Please enter the voucher number provided by Modern States for this examRequest ID
