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Exam Proctoring Request for Faculty
Complete this form if you would like to have the Testing Center proctor an exam for one or more of your students. Please complete a separate form for each individual exam; however, multiple students who are taking the same exam should be included on the same request. The Testing Center will do our best to accommodate your requests related to timeframe, exam resources, and student accommodations. If we are unable to meet your requests we will reach out as soon as possible to discuss potential alternatives.
Keep in mind that the Testing Center requires students to schedule their appointments for proctored exams 48 hours in advance, so please plan accordingly.
Faculty requests should be submitted a minimum of 72 hours prior to the start of the testing window to allow the student enough time to schedule their exam.
If you run into any issues or have questions, please reach out to us at
testing@jscc.edu
.
Today's Date
Today's Date
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Instructor's Name
Instructor's Email Address
Instructor's Phone Number (will only be used if there is an issue related to the exam)
Course Title, Section Number, and CRN
First Day of Testing Window
First Day of Testing Window
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Last Day of Testing Window
Last Day of Testing Window
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2027
Type of Test
Paper and Pencil
Computerized
Is this a make-up exam?
Yes
No
Approximately how many students will be testing?
Student Name(s) (If you are requesting that your entire course be proctored please email a PDF copy of your class roster to testing@jscc.edu)
What exam will the student(s) be taking? (ex. Chapter 3 Quiz, Midterm, etc.)
Allowable Exam Resources (select all that apply)
Scratch Paper (shredded after exam is complete)
Scratch Paper (collected and retained for instructor review)
Calculator (Basic)
Calculator (Graphing)
Book/ notes/ formula sheets/ etc.
Scantron
Write on Printed Exam
No Exam Resources Allowed
Other
If the exam is timed, how long do the students have to complete the exam?
Additional Information Regarding Allowable Exam Resources (from above)
Test Administration Instructions for Proctors (Please be as specific as possible)
Password (if Required)
Are special accommodations needed? (If yes, ensure that accommodations are approved by the Disability Resource Center prior to testing.)
Yes
No
Specific Accommodations Requested
Extended Time
Low Stimulus Environment
Private Room
Reader
Scribe
If student(s) has been granted extra time, please provide the total amount of time allowed for student(s).
Return Process
Call or email when exam is completed
Exam will be picked up by instructor (or designee)
Other
Provide additional details for your answer to the above question (if needed)
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