MMPI-2 Self-Administration

Confirmation of Applicant Identity:

Title 70, section 3311 E.2b of Oklahoma Statutes requires confirmation of applicant identity prior to test administration.
How would you like to confirm your identity?*

I will upload a copy of my driver's license or state IDI will mail in a copy of my driver's license or state ID, I understand this will delay processing my exam until receipt.
Carefully follow the below instructions:

If taking the exam on a COMPUTER:
1) Scan a copy of your driver's license (or take a photo of your ID with your phone and email it to yourself).
2) Click "Browse Files" button below
3) Navigate to and select the picture of your driver's license or state ID

If taking the exam on a PHONE, TABLET, or MOBILE DEVICE:
1) Click "Browse Files" button below to access your device's camera
2) Take a photo of your driver's license or state ID
Driver's License / State Photo ID Upload*

Browse Files

Cancelof
Please mail a copy of your ID to:

LEPS
PO BOX 32046
EDMOND OK 73003
Should any problems arise while taking your exam, please call our office for assistance:

405-330-9111

Payment - $150.00
Method of Payment:

Credit or Debit Card - Complete the information requested in drop down boxOther
Please mail $150.00 cash or money order made to LEPS to:

LEPS
PO BOX 32046
EDMOND OK 73003

If you are also confirming identity by mail, please use the same envelope for both.

Thanks

My Products

MMPI-2 Testing$150.00

Should any problems arise while taking your exam, please call our office for assistance:

405-330-9111

Personal Data
Email address*
First Name*
Last Name*
SSN*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Landline
Birth date*

MonthDayYear
Gender*
Marital Status*
Education: Highest level completed*
Years of Education Select 12 for HS diploma/GED, or 12+# of years of college; Example: HS diploma and 2 years college; select 14*
Select whether you will work in Law Enforcement, Armed Security, or other.*

Law EnforcementArmed Security GuardOther
Test Date*

MonthDayYear
Should any problems arise while taking your exam, please call our office for assistance:

405-330-9111

	Applys over the past 2 years
Chronic Pain
Alcohol Abuse
Suicidal Feelings
Homicidal Feelings
Anger Management Issues
Criminal Action
Violent or destructive actions
Severe/Chronic mental disorder
Saw things not there
Hospitalized for mental/emotional issues
Pending legal charges
Disputes with supervisors
Problems with co-workers
Treatment for mental/emotional problems
Health issues
Drug abuse
Attempted suicide
Attempted homicide
Domestic violence
Heard things not there
Offense involving a firearm
Involuntary commitment for mental treatment
Adjudicated incompetent
Rehabilitation for alcohol/drug abuse
Marital/family conflict
Severe sleep problems
Frequent job changes
Sexual harassment violation
Medication use
Marijuana use
Delusional beliefs
Brain injury or damage
Subject of a VPO
Driving while impaired
Driving under the influence
Conditions that could limit job performance
Seizures/blackouts
Traumatized/PTSD diagnosis
Child abuse violation
Violence against a person
At fault vehicle crash
Memory loss or impairment

Release:

I acknowledge that the requesting agency is the client and I am not. I am the client of the agency. I give my informed consent to release test results and personal data to the requesting agency and CLEET forms to CLEET. I further agree that test materials, questions and all parts of this administration belong to either Law Enforcement Psychological Services or Pearson Clinical. I WILL NOT record, reproduce, publish or copy any of the materials herein:
Applicant Signature*
Date Released*

MonthDayYear
Date
Should any problems arise while taking your exam, please call our office for assistance:

405-330-9111

Confirmation of Applicant Identity: