Master's Completion Form for Off-site Testing

Please fill out your information as well as the Proctor Information.

If you see this don't fill out this input box.

* Student Last Name

* Student First Name

* Student WKU ID

* Student Email Address

* Student Phone

* Date of Exam

* Time

Master's Completion Exam

Math

History

Public Health

Social Work

Other

If selected other please specify exam type

* Exam Supervisor's First Name

* Exam Supervisor's Last Name

* Administrative Title

* Institution Name

* Institution Street Address

* Institution County or City

* Institution State

* Institution Country

* Institution Zipcode

* Institution Email Address

* Institution Phone

Agreement Terms

I have contacted the person listed above and have set up an appointment for the time and date shown on this form.

I understand that test materials or passwords will be provided to my chosen location no later than 24 hours before my scheduled appointment.

Information about accreditation can be found through the Office of the Provost.

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