Proctor Form

  
EXAM PROCTORING INSTRUCTIONS

TODAY’S DATE:            UNIVERSITY: 

STUDENT’S NAME: 

INSTRUCTOR’S NAME: 

INSTRUCTOR’S EMAIL:  

INSTRUCTOR’S PHONE       COURSE: 
           
Computer-Based Exam:  Yes     No         Password

Paper-Based Exam:         Yes     No

Date that test is to be administered:    

Length of time Allowed for test:

Special Instructions such as calculators, open book, notes, etc.: 
           
           
           
            

Student must provide scantron:   YES  NO
           
Indicate the method for the return of testing material:

Scan & Email:

Mail to instructor:   (Please include return postage)   Location:

Please notify the Testing Center at least 24 HOURS in advance regarding upcoming exams.  Tester MUST call the Testing Center at 337-482-6480 to schedule a testing appointment.