Home Programs Assessment Centers Exam Request This form is used to request an exam appointment for CLEP and WorkKeys exams. Please see directions on Assessment Centers to schedule other exams.Name(Required) First Last Email(Required) Phone(Required)Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920I am a student at MGCCC.(Required) Yes No Student ID (M#)(Required) Exam(Required) CLEP WorkKeys CLEP Ticket ID(Required) CLEP Exam Name(Required) Reason(Required)Are you taking the WorkKeys exam to become a Teacher's Assistant or for another purpose? Teacher's Assistant Other Assessment Center(Required)Select the Assessment Center location where you would like to test. Harrison County Campus Jackson County Campus Perkinston Campus