Group Online Exam Order Please complete the information below to order access to the LEAP Online Exam. For questions, please contact LEAP directly at 801-560-0107. HiddenDate Submitted MM slash DD slash YYYY Name First Last Email* Is the billing contact different than the contact above? Yes No Billing ContactDifferent than contact above First Last Billing Email Billing PhoneUniversity Name (Agency Name)* Number of Students/Test Takers*Please enter a number from 1 to 200.ExamsWhich Exam Would You Like to Order*Students are not able to print the exam with results for copyright purposes. If you need student scores, please order a report for the respective exam. 50 Question Pre-test ($20 per person) 50 Question Pre-test; 50 Question Post-test ($35 per person) 170 Question Online Exam A ($47.20 per person) 170 Question Online Exam B ($47.20 per person) Student Level*BSWMSW/ClinicalTeacher Reports for Student ScoresWould you like a pre-test report? Yes No Would you like a post-test report? Yes No Would you like a student test report?IMPORTANT - In order to receive a student test report, all students must complete the exam within a one week window. As a result, access dates must be set to be no greater than one week. Yes No Access DatesDate Pretest Access Begins* Month Day Year Date Pre-test Access Closes* Month Day Year Date Posttest Access Begins* Month Day Year Date Posttest Access Closes* Month Day Year Date 170 Question Online Exam Access Begins* Month Day Year Date 170 Question Online Access Closes* Month Day Year Student List*Please upload your student list in an excel file. This file should include: Column 1:"Student First Name", Column 2:"Student Last Name", and Column 3:"Student Email Address".Accepted file types: xls, xlsx, pdf, doc, rtf, txt, csv, Max. file size: 50 MB.CommentsIf there are any special or custom requests, please describe them here. EmailThis field is for validation purposes and should be left unchanged. Δ