Student Proctoring Request Form

Student Access Services

Proctoring Request Form
-Comply with the University’s Academic Honesty Policy

-Work with the instructor to determine test date and start time - You must enter a specific date and time

-Submit this form to the Student Access Services (SAS) at least 72 business hours prior to the test date

-Arrive at your scheduled test time. When scheduling, the end time for your exam should be no later than 5pm

-For consideration of exceptions please email proctoring@npe.nmt.edu

-If you are more than 15 minutes late you will not be allowed to test without the approval of the instructor

-Any changes that differ from the original test date and or time that is provided by the instructor must be approved by the instructor and notice given to SAS via email with proof

-If for any reason the information on your form does not comply with the requirements the SAS will reject your proctoring request and you will need to complete a new form

If you need to request proctoring later than the 72-hour window before the exam, you may request an emergency proctoring form from proctoring@npe.nmt.edu. You are allowed two emergency forms per semester, after that you will need to work with your instructor to be proctored at a different location if you miss the 72-hour deadline a third time.
Date for Exam *

MonthDayYear
Please choose a date at least 3 days in advance or you will not be able to submit this form.
Exam Start Time*
If you would like to schedule an exam for a time not listed please email proctoring@npe.nmt.edu
Course Name*
e.g. Calculus 1
Course and Section *
e.g. MATH 1510-02 (include "Lab" if this is a lab) You MUST include your section number
Exam Number*
What exam/quiz number are you attempting to take?
Instructor Email*
first.last@nmt.edu ( Instructor email can be found on both banweb and canvas)
Extra Time per Accommodations*
Other Testing Accommodations and Preferences
Such as: Larger Font, Colored Paper, etc.... Preferences may not be fulfilled
Pre-accommodation testing time, in minutes*
e.g. 75 minutes
Student Email*
example@student.nmt.edu
As you are trying to schedule during finals week please go to the following link and fill out our Finals Form.

Finals Exam Form

If you are attempting to schedule an exam that is not a final during this time please email us at proctoring@npe.nmt.edu
900#*
Adding your name below indicates that you have carefully read, understood, and agree to follow all SAS Testing Regulations, the University Honor Code, and understand that any infractions may result in disciplinary action. *
Student First and Last Name = Signature
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Total Testing Time
Calculation
End Time for Calendar

MonthDayYear
Date
Hour Minutes
Approval End Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Numerical End Date Time
Numerical Approval Date Time
Broken Item
Proctoring email
example@example.com
Should be Empty:

Student Access Services