UGA-Tifton Proctor Request Form
Please complete this form at least five (5) business days prior to the scheduled exam. Someone from UGA-Tifton Academic Affairs will contact you and the student(s) with confirmation of the test date, location, and time as soon as possible.
Instructor Information
Instructor's Name
First Name
Last Name
Instructor's Email
example@example.com
Instructor's Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Instructor's Preferred Method of Contact During the Exam (choose one)
Email (listed above)
Phone (listed above)
Other
If "Other," please specify preferred contact method
How many students will be taking the exam?
*
You must enter a number.
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Exam Information
Course Title & Number
Date of Exam
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Start Time
Hour Minutes
AM
PM
AM/PM Option
End Time
Hour Minutes
AM
PM
AM/PM Option
Location of Exam (Building & Room Number)
Will this exam require a Zoom connection?
*
Yes
No
Testing Instructions
Other Requirements
Please Upload the Exam, if ready.
Browse Files
Drag and drop files here
Choose a file
10 MB maximum upload; pdf, doc, docx formats accepted.
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