Family Life Education Assessment Exam Order Form

Thank you for your interest in administering the Family Life Education assessment exam to your students.

Before filling out this order form, please ensure that your program has paid the one-time setup fee of $200. (This fee is required only once, prior to the first time your program offers the exam.)

The price of the exam is $50 per candidate plus shipping. The school will be invoiced after administering the exam for the number of exam booklets used.

Institution / Department Information

Department Address

Program / Exam Information

Degree Type for Undergraduate Program
Degree Type for Undergraduate Program

Select all degree types that apply

Degree Type for Graduate Program
Degree Type for Graduate Program

Select all degree types that apply

Must be at least 30 days after order date

Shipping Address for Exam Booklets

No PO boxes. Be sure to provide address where package can be received by a person.

Shipping Address

Your Information (Person Ordering Exam)