MDTP Online Placement Registration Form
This registration must be completed for access to the MDTP Online placement testing platform. Once this registration form is submitted, you will receive confirmation and access to the testing platform by email from MDTP within five business days. If you have any questions regarding MDTP online testing, please contact mdtp@ucsd.edu.
Please select an MDTP region. *
Your Name (Last, First) *
Your answer
Your Title: *
Your answer
Your Email Address: *
Your answer
Your Phone Number: *
Your answer
Name of Educational Institution: *
Your answer
District Name (Schools not affiliated with a California public school district, please write "No District".) *
Your answer
County *
Your answer
Approximate Test Date *
If this order form is being submitted within two weeks of the indicated test date, set-ups may not be completed in time for testing.
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