Challenge Exam Request Form

Complete the form below and click the "submit" button.

Fields marked with an * are required.

If you would like a copy of your completed form, print a copy before you submit this form.

This form provides for secure transmission of your personal information.

If you are experiencing difficulty using this form, contact the webmaster[at] matcmadison [dot] edu (Webmaster). If you need more information, contact theBusinessLab[at] matcmadison [dot] edu ( )camillo[at] matcmadison [dot] edu (Business)BusinessLab[at] matcmadison [dot] edu ( Lab )at (608) 243-4019.

Last Name: *

First Name: *

Middle Initial:

Student ID: *

This number should start with a 1 or a 2. Do not enter your social security number.

Address: *

Address Line 2:

City: *

State/Province/Region:

Zip/Postal Code:

Ex: 55555-4444

Country: *

Home Phone Number: *

Ex. 608-666-6666 International users, include international access code, country, city codes, and local number.

Work Phone Number:

Ex. 608-666-6666 International users, include international access code, country, city codes, and local number.

Full Madison College Email Address: *

(i.e. username[at] matcmadison [dot] edu)
Note: Your exam results will be sent only to your student email address.

Exam Name(s): *

Hold down CTRL to select multiple tests. A maximum of 2 tests per testing period. Only 1 exam may be scheduled on Tuesday nights.
*SAM 2010 Printed Access Card Required. Available through the Madison College bookstore.
** This test requires additional experiential credit forms. See Advanced Standing requirements under A-Z index

I am enrolled in the following Program at Madison College:

I am pursuing the following Madison College Microsoft Certificate:

Exam Date Requested: *

*Must arrive at least 2 hours prior to lab closing for each exam. Maximum of 2 exams can be scheduled per day.

Friday exam hours are 8:30 a.m. - 1:00 p.m. (must arrive by 11:00 a.m. for 1 exam)

Tuesday exam hours are 3:00 p.m. - 7:00 p.m. (must arrive by 5:00 p.m. for 1 exam)

** By Appointment Option - please add desired appointment time in comments section. An exam administrator will contact you.

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Challenge Exam Request Form

Madison College School Offices

School of Agriscience and Technologies

Challenge Exam Request Form

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Intermediate Word* (10-103-136)
Intermediate Excel* (10-103-139)
Intermediate Access* (10-103-125)
Advanced Word* (10-103-126)
Advanced Excel* (10-103-132)
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PowerPoint* (10-103-143)
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Internet Introduction (10-103-146)
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Medical Office Procedures (10-106-165)
Medical Lang for Business Prof 1 (10-106-178)
Medical Lang for Business Prof 2 (10-106-179)
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