Actuarial Exam Site Preference Form
Please provide your information and indicate your preferred exam site(s) for the upcoming actuarial exam session.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Exam Name or Level
*
Please Select
Probability (P)
Financial Mathematics (FM)
Investment and Financial Markets (IFM)
Long-Term Actuarial Mathematics (LTAM)
Short-Term Actuarial Mathematics (STAM)
Other
Exam Session (Date/Time)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Preferred Exam Site (First Choice)
*
Please Select
Site A
Site B
Site C
Site D
Other
Preferred Exam Site (Second Choice)
Please Select
Site A
Site B
Site C
Site D
Other
Preferred Exam Site (Third Choice)
Please Select
Site A
Site B
Site C
Site D
Other
Do you require any special accommodations or accessibility arrangements?
*
No accommodations needed
Yes (please specify below)
If yes, please describe the accommodations or accessibility needs required:
How far are you willing to travel for your exam site?
*
Please Select
Up to 10 miles
10-25 miles
25-50 miles
50+ miles
Additional Comments or Site Preferences
Submit
Should be Empty: