MAT Registration Form

The registration form below cannot be transmitted electronically.
You may complete the form on the computer, print it, and then mail it or bring it to UTS.
WE CANNOT ACCEPT PAYMENT BY CASH, CREDIT OR DEBIT CARDS.

If you are mailing your registration to us, you must enclose the following three items:

a self-addressed, stamped envelope in which to return your admission ticket,
a personal check or money order for $80.00 made payable to Arizona State University, and
this completed registration form with your signature below.

Our mailing address is University Testing Services, Payne Hall (EDB), Room 301, Arizona State University, PO Box 870511, Tempe, AZ 85287-0511. If you are registering by mail, we will phone you to confirm your scheduled test date. If you do not receive your admission ticket prior to your test date, it is your responsibility to contact this office. Our phone number is 480-965-7146.

SPECIAL ACCOMMODATIONS: To receive disability accommodations you must be registered with the ASU Disability Resource Center and be approved for special accommodations. You will also need to arrange an individual test appointment with our Program Coordinator. Please do not sign up for a group testing time if you plan to request special accommodations.

YOU MUST CHECK IN AT LEAST 15 MINUTES BEFORE TEST TIME TO BE ADMITTED.

Last Name	First Name	MI
Street Address (including Apt. #)	Birthdate (MM-DD-YYYY)
City, State, ZIP	ASU ID Number
Daytime Phone	Evening Phone

Have you taken ANY exam at University Testing Services before? Yes No

Have you taken the MAT in the past 12 months? Yes No

Requested Exam Date and Time:
First Choice:
Second Choice:

YOUR REGISTRATION CANNOT BE PROCESSED WITHOUT YOUR SIGNATURE BELOW.

STUDENT AGREEMENT

I agree to the policies and conditions of this test as written on the registration form and attached information. I understand that, if I violate any rules or directions related to the administration of this test, the following actions may occur: I will be dismissed from the test session, my test score will be cancelled, I will forfeit my testing fee, and a written report will be filed by University Testing Services with the test company regarding the incident.

Signature ______________________________________________ Date _____________________