Test Center Reimbursement / Stipend Request "*" indicates required fields IMPORTANT: You must have used a Modern States CLEP voucher and provide a copy of your CLEP exam score to request test center reimbursement. Please note, it takes approximately 8-10 weeks to process a reimbursement request. Name* First Middle Last Address* Street Address Address Line 2 / Apartment / Suite / Floor (optional) City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Which High School Did/Will You Graduate From*If you are a TheDream.US Scholar, please select that option instead of a specific high school.Please Select A SchoolAcademy for Careers in Television & Film (TvF)Academy For College Preparation and Career ExplorationAcademy for Language and TechnologyAcademy of Innovative TechnologyAlfred E. Smith CTE High SchoolArchimedes Academy for Math, Science and Technology ApplicationsBard High School Early College BronxBayside High SchoolBronx Academy of Health CareersBronx Academy of LettersBronx Career and College Preparatory High SchoolBronx Center for Science and MathematicsBronx Collegiate AcademyBronx Design and Construction AcademyBronx Early College Academy for Teaching & LearningBronx Envision AcademyBronx High School for Medical ScienceBronx High School of BusinessBronx Leadership Academy High SchoolBronx School for Law, Government & JusticeBrooklyn High School for Law and TechnologyBrooklyn High School of the ArtsBrooklyn Lab SchoolBrooklyn Studio Secondary SchoolBroome Street Academy Charter High SchoolCareers in Sports High SchoolCentral Park East High SchoolClaremont International HSEagle Academy for Young MenEast Bronx Academy for the FutureEast-West School of International StudiesEmber Charter SchoolEpic North High SchoolEquality Charter SchoolEximius College Preparatory Academy: A College Board SchoolExplorations Academy H.S.Flushing High SchoolForest Hills High SchoolFranklin D. 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Lehman High SchoolHigh School for Community LeadershipHigh School for Health Professions and Human ServicesHigh School for Health, Education and Research Opportunities High School (HERO)High School for Violin and DanceHigh School of World CulturesI Have A Dream FoundationJamaica Gateway to the SciencesKIPP New York City College Prep High SchoolLaboratory School of Finance and TechnologyLaGuardia High SchoolLower Manhattan Arts Academy (LOMA)Manhattan Business AcademyManhattan Village AcademyMarble Hill School for International StudiesMesa Charter High SchoolMetropolitan Expeditionary Learning SchoolMorris Academy for Collaborative StudiesMott Hall Bronx High SchoolMott Haven Village Preparatory High SchoolNew Directions Secondary SchoolNuasin Next Generation Charter SchoolPark East High SchoolPassages AcademyPlay Rugby Academy, NYCRenaissance High School for Musical Theater and The ArtsRockaway Collegiate High SchoolSchool for ExcellenceSouth Bronx Preparatory SchoolThe Bronx Community FoundationThe Bronx Latin SchoolThe Bronx School for Continuous LearnersThe Cinema SchoolThe Collegiate Institute for Math and ScienceThe DoorThe Dreamyard Preparatory SchoolThe Global Learning CollaborativeThe Heritage SchoolThe High School for Environmental StudiesThe Metropolitan High SchoolThe Metropolitan Soundview High SchoolThe Urban Assembly School for Applied Math and ScienceThomas A. Edison Career and Technical Education High SchoolTYWLS BronxTYWLS BrooklynTYWLS East HarlemUnion Square Academy for Health SciencesUniondale High SchoolUrban Assembly School for the Performing ArtsUrban Dove Team Charter SchoolUrban Dove Team Charter School IIUrban Dove Team Charter School IIIUrban Dove Team Charter School IVValidus Preparatory AcademyWadleigh Secondary School for the Performing & Visual ArtsWalkabout Bronx High SchoolWings AcademyWorld Academy for Total Community Health High SchoolWorld View High SchoolI am a TheDream.US ScholarWhat is your TheDream.US App ID?*Found at the top of your ISTS Portal Exam Taken*Select An ExamAmerican GovernmentAmerican LiteratureAnalyzing and Interpreting LitBiologyCalculusChemistryCollege AlgebraCollege CompositionCollege Composition ModularCollege MathematicsEnglish LiteratureFinancial AccountingFrench LanguageGerman LanguageHistory of United States IHistory of United States IIHuman Growth and DevelopmentHumanitiesInfo SystemsIntro to Educational PsychIntroductory Business LawIntroductory PsychologyIntroductory SociologyNatural SciencesPrecalculusPrinciples of MacroeconomicsPrinciples of ManagementPrinciples of MarketingPrinciples of MicroeconomicsSocial Sciences and HistorySpanish LanguageSpanish With WritingWestern Civilization IWestern Civilization IISecond attempt to obtain the required score on this exam? Yes, this is my second attempt Do you need reimbursement for a test center fee?* Yes No Test Center Fee ($)*Test Center Receipt*Accepted file types: jpg, jpeg, gif, png, bmp, tiff, pdf, Max. file size: 3 MB.Exam Date MM slash DD slash YYYY Exam Score*Candidate Score Report*Accepted file types: jpg, jpeg, gif, png, bmp, tiff, pdf, Max. file size: 3 MB.Voucher Number*Please enter the voucher number provided by Modern States for this exam Confirm your date of birth for payment processing* MM slash DD slash YYYY Request ID 52893
