Individual Proctoring Request Form

The General Testing Center is available by appointment only. To schedule an exam, complete and submit the Remote Proctoring Request Form below.

Student Information

Student's Name*

Student's Email Address*

Instructor's Name*

Instructor's Email Address*

Institution*

Course (e.g., BIO 101)*

Phone Number*

Exam Schedule

The student, instructor and proctor will need to work together to determine a mutually agreeable date and time for the student to take this quiz or exam. Enter the preferred date and time this exam is to be administered in the fields below. Please Note: The General Testing Center closes at 4:30 p.m. so please keep this in mind when scheduling an exam.

Date*

Day of the week*

Time*

Testing Parameters

The information below helps clarify the conditions under which students in the classroom are being examined.

For students taking this exam in your classroom, how much time are they allowed to complete the exam?*

Do the students who will be taking this exam in your classroom have access to the following:

Textbooks*

Yes
No

Lecture Notes*

Yes
No

Note Cards*

Yes
No

Computer*

Yes
No

Internet*

Yes
No

Formula Sheet*

Yes
No

Calculator*

Yes
No

Additional Comments or Instructions

Upload and submit your exam directly to the General Testing Center.

Drop files here or

Max. file size: 20 MB.

You may also drop the exam off at the circulation desk in the Hearnes Center library.

Completed Exam

Once completed, the exam will be available for pick up in the General Testing Center office, located at the circulation desk in the Hearnes Center library, or sent back to the instructor via campus mail, or mailed through the US Postal Service.