Graduate School - Proctor Request Form
Proctor Request Form

 

Submission of this form signifies that the student has read, understands, and agrees to comply with Graduate School USA's proctored exam requirements. The person acting as the proctor is in a position of trust, thus the proctor application will be reviewed and approved or declined after verification is completed. Once the proctor is approved, both student and proctor will receive a confirmation email at the addresses provided below. Those applications that are incomplete, do not have the required documentation, or do not meet the proctor qualifications will not be approved, and the student will be notified. No exams will be transmitted until a proctor has been approved through this process.

Student Information

Name *:

Street Address:

City:

State:

Zip code:

Day Phone #

Home Phone #

Email Address *:

Confirm Email Address *:

Instructor Name, Course, & Course Number *:

Instructor Name, Course, & Course Number:

Instructor Name, Course, & Course Number:

Proctor Information

Name *:

Place of Employment:

Job Title or Profession:

Relationship to Student:

Proctor Email Address *:

Confirm Proctor Email Address *:

Work Phone#

Fax:

Materials for test will be primarily emailed to the proctor.

Email to:

Email Address:

Address to mail the examination to if necessary:

Organization Name:

Attention of:

Street Address:

City:

State:

Zip code:

Examination Administration:

  • The student and the proctor must procure a site appropriate for testing. Exams are not to be administered in a home unless given special exception due to mobility limitations or special needs.
  • The exam must remain in the possession of the proctor until the time the test is administered.
  • The proctor must verify the identity of the student based on a valid government- issued photo ID before giving an exam.
  • The proctor must be present at all times while the exam is being administered.  Exam times may not exceed two hours (unless the student requires additional time based on an accommodation approved by the Special Accommodations Coordinator).
  • No assistance is allowed. The exam is closed book unless otherwise noted.
  • Once started, the examination must be completed. If the student leaves the room before completing the exam, the exam period is ended and the exam must be submitted to the Graduate School USA as is.
  • The exam may not be copied by the student under any circumstance.
  • Electronic devices (e.g., computers, PDAs, cell phones, pagers, etc.) are not permitted in any testing facility.
  • Children are not allowed in any exam session.
  • Students must know their student identification number and include it on the examination.
  • The exam may not be copied by a student under any circumstance.
  • Immediately upon completion, completed examinations are to be sent to the faculty member in the self-addressed stamped envelope provided by the Registrar.

* = Required
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