Correspondence Test Request Form
The Academic Testing Center offers proctoring services for students participating in distant learning programs, correspondence degree programs, professional who need to be testing to receive certification in their field, and other college or university students who need to have an exam proctored. We offer both paper-based testing and computer-based testing. PLEASE DO NOT USE THIS FORM FOR PEARSON VUE EXAMS.
Candidate/Student Information
Name
*
First Name
Last Name
Email
*
example@example.com
Preferred name
Phone#
*
Enter Best Phone Number to Contact You
Student/Candidate ID # (if applicable)
Appointment
*
School/Institute Information
Exam (Subject/Course Number, etc.)
*
School/Institute Name
*
Instructor/Contact Name
*
Contact Phone#
*
Enter contact phone number
Contact Email
*
example@example.com
Type of Exam
*
Paper-based
Computer-based
Duration of Exam (min)
*
Payment
Please be aware that each test incurs a fee of $60. The payment link will be forwarded to you via email within 48 hours. Please ensure that payment is made before your scheduled appointment. PLEASE DO NOT USE THIS FORM FOR PEARSON VUE EXAMS.
Proctoring Rules Agreement
I understand the information provided above and agree to follow these rules in addition to any other program rules I may have agreed to during my registration for this test. I understand that if I do not follow the rules or I am suspected of cheating this will be reported the Office of Student Conduct, Dean of Students, professor, and/or exam sponsor. I acknowledge and understand that my test may be invalidated, and the sponsor may take other action such as decertifying me, and I will not be refunded my test fee. PLEASE DO NOT USE THIS FORM FOR PEARSON VUE EXAMS.
*
Type your Full Name
Submit
Should be Empty: