Deadline :: Thursday June 19^th for Summer Mid Term Applications

Deadline :: Thursday, July 17th for Summer Final Exam Applications

In order for the Testing Office to approve a proctor, all of the following information must be completed:

* Indicates the required items

Student Information

*First Name

*Last Name

*Day Phone #:

 (Format: 999-999-9999)

*Evening Phone #:

 (Format: 999-999-9999)

*E-mail Address:

Proctor Information

*Name of Institution or Exam Center:

*Director of Testing Department:

*Address of Institution:

*City:    *State    *Zip Code  

*Phone # of Director:

 (Format: 999-999-9999)

*Director"s E-mail Address:

*Proctor's First Name:

*Proctor's Last Name:

*Proctor's E-mail Address:

*Select the One Scheduled Exam:

Midterm Exam Final Exam

*Scheduled Date of Exam:

 (Date Format: MM/DD/YYYY)

*Scheduled Time of Exam:

 (Format: hh:mm:ss)

All students who are taking a mid-term or final exam must complete the following:

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