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

Course #

 e.g., PSYC 001

Class Test Date
May students take the test on a different date than the class?


Class Meeting Time

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

Student Name(s):

Student Name(s):

Instructor Name:

Instructor email:

Instructor Phone:

May students call with questions?


If Yes, how?

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

Exam

Other Attachment

Exam Materials

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






Type:

Delivery to EPC:

(Preferred)



Exam Return:


Return Signature Required






Exam Return Location:

Additional Proctoring Conditions / Notes Allowed / Other Information:


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