ACCESS Exam Proctoring Checklist

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

How the exam is returned is your choice.

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:
Class Time
Time allowed in class?

May students take the test on a
Different Date? Yes No
Different Time? Yes No

Student Name(s):






Student Name(s):






Instructor Name:
 Instructor email:
 Instructor Phone:

May students contact you during the test?
Yes No
If Yes, how?

You may attach 2 files to this request

Exam

Other Attachment

Proctoring Conditions (If known)
Scantron
Blue Book
Word Processor
Dictionary
Scrap Paper
Notes
Open Book
Formula Sheet
Calculator Allowed
Model: 		Following require a Private Room

Reader
Scribe
Voice Recognition
Private Room

Following accomodated in A132

Text to Speech
CCTV (Text Magnifier)
Computer
A132

Exam Delivery to EPC:

email
Student
Drop Off
Courier

Exam Return:

Student
Pick Up
email
Courier
Exam Return Location:

Additional Proctoring Conditions / Other Information:


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