NEW MEXICO TECH

Student Access Services

Instructor Test Proctoring Form
Complete this form atleast 48 hours before exam time

Enter regular exam length and other exam parameters

Deliver exam to SAS office, upload to jotform, or email to proctoring@npe.nmt.edu at least 24 hours prior to exam

This form is available ittps://nmt.edu/disabilityservices.php as a PDF or Jotform
Instructor Name*
Instructor Phone*
Instructor Email*
first.last@nmt.edu NOTE: must be your nmt.edu email
Course Code*
e.g. MATH 1210
Course Common Name
e.g. Calculus 1
How to contact instructor for questions during exam?*

EmailPhoneText
Instructor Signature*

First NameLast Name
Todays Date*

MonthDayYear
Return Exam via?*

EmailCanvasPick-upDelivery
Location for delivery
e.g. Cramer 235 or Physics Department Admin Workman 315
Date of Exam(s)
Can be left blank if date(s) are unknown
Class Start Time(s)
Exam #*
Please enter the exam number(s) or if the form is for a final or midterm
Regular Exam Length in minutes *
e.g. 75 minutes
Final Exam Length in minutes*
e.g. 180 minutes
Type of Proctoring

In PersonZoomCanvas
Permitted Items During Test

Open NotesOpen BookCalculatorFormula SheetScrap PaperOther
Special Instructions
Such as Keep Scratch Paper or Keep note sheet
Exam(s) Upload

Please upload exam(s) in PDF, Doc, mp3 or mp4 format. For other file formats please contact proctoring@npe.nmt.edu
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Student Access Services