University of Vermont

Academic Support Programs

Proctoring Checklist

ACCESS Exam Proctoring Checklist

Student(s) MUST have arranged with you to take this test in the EPC.

Specify where & how you would like the test(s) returned.

Please provide the following information regarding students taking this exam in the EPC.
Call 802-656-5767 for help with this form

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Instructor Information

Class Test Date

May students take the test on a different day than the class?

Class Meeting Time

May Students take the test at a different time than the class?


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Student Name(s):

May students call with questions?


If Yes, how?


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You may attach 2 files to this request (pdf preferred)




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Exam Materials

Scantron 19641 100 answer
200 Answer # 4521
200 Answer # 19543


Should the test be printed 1-sided or 2-sided?
by default, tests are printed 2-sided to conserve paper









Delivery to EPC:

(Preferred)



Exam Return:


Return Signature Required









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Last modified February 28 2014 01:04 PM