Off-site Exam Request

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

* Exam # or Name

* Requested Exam Date

* Requested Exam Time

* Course ID #

* Course Instructor

* Name

* Email Address

* Student ID Number

* Phone Number

* Address Line 1

Address Line 2

* City or County

* State

* Zip Code

* Proctor

* Confirmation

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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