Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your personal information in the applicant section. Ensure to complete all mandatory fields, including your first name, middle initial, last name, date of birth, social security number, home address, city/state/zip, phone number, and email address.
3. In the exam training section, indicate the school you attended and list the training or classes you have completed. This information is crucial for verifying your educational background.
4. Under the core exam and modules section, select at least one module to indicate your area of focus. You must check the Limited Scope Core Exam as well as the specific anatomy module(s) applicable to you.
5. If you are applying for a retake, check the retake options in the retake core exam and/or modules section, specifying the modules you intend to retake.
6. Calculate the fees due with the application. Include the $25.00 processing fee as a cashier's check or money order, and ensure it is attached to your application.
7. Affirm the accuracy of your information by signing and dating the application form. This declaration confirms that all provided information is true and complete.
8. Once you have thoroughly filled out the form, review it for any errors or omissions. After confirming that all information is correct, you can save your changes, download, print, or share the completed form as needed.

Take the next step in your career by completing your application online today.