School of Psychology & Counseling

CPCE Exit Exam Registration Form

Exit Exam Registration Form

Exam Date: Friday, October 24, 2014
Exam Time: 10:00 a.m. – 2:00 p.m.
Location: TBD

**REGISTRATION CLOSES ON SATURDAY, SEPTEMBER 20, 2014**

(ALL FIELDS ARE REQUIRED)

First Name:
Last Name:
Phone: ( ) -
Email Address:
Student ID #:
   
What is your major in the Master's Program?

Marriage, Couple & Family Counseling
Clinical Mental Health Counseling with School Electives
 
What is your anticipated graduation date?
 
 
Have you completed the minimum of 30 hours of coursework required to take the exit exam? Yes No
   
Have you previously taken the exit exam? Yes No
   

(all the fields are required)

Thank you for taking the time to fill out this form.  To submit your request to the School of Psychology & Counseling clicking "Submit" button below. You should receive a confirmation email upon clicking "Submit". If you do not receive one, contact the Field Placement Liaison, Karen Mercer, at karemer@regent.edu.

Regent University