Exam Proctoring Request
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. 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
□ calculator permitted □ no books or supplementary materials 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: _______
~~~~~~~~~~~~~~~~~~~Detach here~~~~~~~~~~~~~~~~~~
For library staff only:
Professor: _______________________ Student: ________________________________
Exam distributed by: ____________________ Date: ________________ Time: _______
Exam collected by: _____________________ Date: ________________ Time: _______
□ distraction-free room required
Fill in bottom section, detach and place in completed folder. Return main form with the exam to the professor.
Room Assigned:
08/2012