GRE Exam Reimbursement Request Form

Active CAMP students who have taken the Graduate Record Examinations (GRE) Exam, and would like to be considered for reimbursement, may complete the form below. These types of requests may take between 5-10 business days to review. Reimbursement approval is partially contingent upon our budget.

Student ID Number *

Name *

First

Last *

Last

UCI Email *

Major *

Class Standing *

GRE Exam Test Date

GRE Test Taker Report (Score should not be included) * *

Maximum file size: 52.43MB

The report may be access by signing into your ETS account. Attach a screenshot of the top of Test Taker Score Report showing your name, most recent test date, and your information. The exam results should not be included.

Receipt *

Maximum file size: 52.43MB

Upload receipt showing order number, amount paid and the payment method used. Please note that the receipt you received via email will not be sufficient since it does not display the amount paid.

Address *

Address Line 1

City

State

Zip Code

Multiple Choice *

M.S.

Ph.D.

M.D.

Other

I understand that in order to be considered for reimbursement, I must have already taken the GRE exam. I also understand that these types of requests may take 5-10 business days to review before a determination is reached.

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