UW

University of Wisconsin–Fox Valley

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Professor, please…

  • Complete the following information
  • Paper-clip this form to the sealed envelope containing all exam materials
  • Give the exam to a library staff member (not a student). We will place the exam in a reasonably secure (but not locked) file cabinet until the exam-writer appears.
  • One of us will give out the exam to the student upon presentation of photo i.d. and will collect the exam upon completion. ( We are not able to physically oversee the exam-writer. If you feel this is necessary, please make other arrangements.)

Library staff will seal the exam and return it directly to your mail box.

Professor: ____________________ Student: _________________________

Exam Date: __________________ Exam Time: __________ Time Limit: ____________

Check all which apply:

  • ___ distraction-free room required
  • ___ this is an open book exam
  • ___ no books or supplementary materials permitted
  • ___ calculator permitted
  • ___ use blue book provided
  • other: ___________________________________

Professor's signature: _______________________ Today's Date: ______________


For library staff only:

Exam distributed by: ____________________ Date: _________ Time: _________

Exam collected by: ____________________ Date: _________ Time: _________

Photocopy this form and return it with the exam to the professor. File the copy in the "completed exams" folder.

Thanks!

10/2007

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