Division of Undergraduate Education

Test Proctoring Request Form

Deadlines
Midterms exams for Fall, Spring, and Summer semesters: Two weeks advance notice
Final exam: Fall semester: Nov. 1 | Spring Semester: April 2

Instructor name*    
Email address*    
Phone Number(s)*  
Course title and number*    
Dates of all regularly scheduled exams to be proctored this semester*    
Start and end times of regularly scheduled exams (i.e., non-final)*    
Do the regularly scheduled exams start on the hour/half hour or 10 minutes after?*  
How many students? ( We will contact you to find out the identity of your students. )*    
Instructor’s conditions for the proctored exam (closed book, notes allowed, no calculator, etc.)*    
Other comments about your exam:    
Contact person who can be reached during the proctored exam for clarifying questions*    
Contact phone during course of proctored exam (campus, home, cell)*    
Do you anticipate using the proctoring service for this class for final exams? (If yes, please fill out the fields below)*    
Final exam date    
Official final exam start time and end time    
Will the final exam start on the hour/half hour or 10 minutes after?    
     
        

* required field