Students: Request for Proctored Exam

Students have three ways to request a proctored exam:

  • Complete and submit the online request form below, or
  • Download, complete, and submit the paper form, or
  • Come by the SSC and pick up a form to complete.

You must submit your request to the SSC no later than 5 days prior to the requested exam date. If using a paper form, bring the form to the SSC, Room 125.

You should also remind your instructor to request the proctored exam and deliver the exam to the SSC at least 24 hours prior to the exam time.

Name:
Student ID Number:
Address:
Mobile Phone:
-
Course Name:
Course Instructor:
Requested Exam Date:
Requested Exam Time:
 : 
Word Verification: