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Cal Poly Pomona

Online Registration for MDPT

NEWS FLASH! The current online registration is for February 6th, 2010 test.  The deadline to register is on or before January 22nd, 2010 5:15 PM. 

Please provide ALL of the information requested, and then click on "Submit Form". Upon submission a new web page will be generated that contains all of the data that you entered. Be sure to check it closely for any mistakes. Print this page. This is your proof that you did register on-line.

If you are eligible to take the MDPT, you will receive an email with an attachment within a week. If you are not eligible to take the MDPT at this time, you will receive an email with an explanation why.


If you are eligible, the attachment will include the following:

    • An admission ticket with the test time, location, link to a Cal Poly map, and other important information about the test. PRINT THIS TICKET AND BRING IT TO THE EXAM OR YOU WILL NOT BE ADMITTED.
    • Resources to help you study for the MDPT.

If you have not received an email response by the Monday before the test date, notify the MDPT Coordinator (Ian Carlson) in Bldg. 8 - Rm 111 or call (909) 869-4676.

Your name as it appears on your photo ID:

First name:
Middle name:
Last Name:

Enter your 9 Digit BroncoNumber (Not Social Security Number):

What is your major?

Into which course do you want to place (select one):









Select the MDPT you wish to take (select one):


Your name and address to be used for the mailing label for your admission ticket. Please type your name and address (Please use CAPs for name and address!) exactly as it should appear on the label.

Name:

Address:
City, State, Zip Code:

Check that you are using a valid e-mail address and that it is correct. Cal Poly is username@csupomona.edu. The email response to this form is your primary confirmation for MDPT registration. If you enter an invalid email, you will NOT get a confirmation!

Your E-mail address:

Confirm E-mail address: