Exam Proctoring Instructions

Student*

First Name	Last name	T-Number

Instructor's Name*

First Last

Instructor's Email*

Instructor's Office Location*

Instructor's Phone/ Extension*

Department Extension

Course*

Section*

Exam Date*

Scheduled Exam Time

Please select an exam type*

Exam: Time allotted (Please do not include exam extended time)*

Other

Quiz: Time allotted (Please do not include exam extended time)*

Other

Evening and Saturday exams may be scheduled

Prior to the scheduled class day and time

The following business day

All exams will be administered with pre-approved ADA accommodations using standardized proctoring conditions unless otherwise specified. Instructor authorize use of:*

Specify calculator type*

Describe content & quantity

Other

Upload Exam*

Drop files here or

All exams proctored by the ODS must include an Exam Proctoring Instruction Form to maintain a secure testing environment and practice.

Additional Instructions

Signature*

Date*

ODS USE ONLY

Time Start

: HH

MM

Time End

: HH

MM

Date

Locker #

Initials

Comment

SASO Exam Proctoring Instructions

Scheduled Exam Time

Evening and Saturday exams may be scheduled

ODS USE ONLY