LBCC Course Test Proctoring Form

STAFF ONLY:

NON-LBCC EXAM PROCTORING
This form is for LBCC Testing Services to proctor a non-LBCC exam for an outside institution.

LBCC Testing Services must receive the proctoring instructions before the student is allowed to schedule their exam.

Students are required to show a photo ID prior to testing.

Once you have submitted this form with the student’s name, exam information, and proctoring instructions, please provide the student with the scheduling link below to schedule their testing appointment.

Students must schedule their appointment at least 48 hours before their exam.

Student Scheduling Link Below:

www2.registerblast.com/lbcc/Exam/List

Testing Services Hours

Instructor:

Phone:

Instructor's Email:

MUST USE school's EMAIL (our priority is to ensure test security)

Student(s) First and Last Name: NOTE: If a student has approved accommodations, note the accommodation(s) next to the student's name.

Student's Email:

***ELECTRONICS ARE NOT ALLOWED IN THE TESTING ROOM***

Course Name and Number:

ex: Writing 121

Test form or # :

ex: Test 1

Date to be issued: From:

MonthDayYear

Date to be issued: To:

MonthDayYear

Time Limit: (include the total time allowed for students testing in the classroom or online

NOTE: Test proctors will calculate test time for students with 1.5x/2x or other extended testing time accommodations.

Will this test be on:

Indicate below which aids or accommodations are allowed. (only those that are marked will be allowed to be used):

If letting students use a notecard,

please have students use a

SCANNABLE NOTECARD

Additional Instructions:

Test to be given:

Additional Papers to go with Test:

Instructor Directions:

Proctoring for Other Institutions