MAT (Miller Analogies Test) Pre-Registration Form

First Name:
M.I.:
Last Name:
Social Security:	(Last Four Digits)
Local Address:
Campus Phone:
Contact Phone:
E-Mail:
Bring your Picture ID, $85.00 cash, Social Security Card, two sharpened #2 pencils and a Temporary Parking Permit Permit (Stop by Campus Police for your permit)

What Graduate School are you attending or plan to attend?

City:

State:

Have you taken the MAT before?

Yes No

If yes, number of times taken:

Desired Test Date:

9:00 am 11:00 am