Proctoring Request Form - OSU Newark Campus *revised 10/01/2025
Faculty are required to submit a test proctor form for each student for each test. Phone: 740-366-9417, Email: NWK-testingcenter@osu.edu
Student First Name and Last Name
*
First Name
Last Name
Student Last Name.#
*
(i.e. smith.1234)
Exam Name:
*
(i.e. Week 3 Quiz, Midterm, Exam 2)
Course Name & Number:
*
(i.e. Math-1050)
Due Date:
*
-
Month
-
Day
Year
Test will not be given after this date, unless authorized by instructor
Class time allotted for test:
*
Additional time for students with accommodations will be calculated at the time the test is given.
Instructor authorizes (Select all that apply)
*
Open Book
Open Notes (if printed or handwritten, maximum permitted 1 page standard letter size, double-sided)
Formulas/Tables
Nothing
Calculator
Other
Reason student is taking test in the Testing Center:
*
Missed classroom test
Accommodations
Answer Sheet
*
Write Answers on test
Scantron Form 889-E (Green, 25 questions per side)
Scantron Form 882-E (Green, 50 questions per side
Lined paper for essays
Blue book
Computer
Type of Calculator
Test located on paper or computer (Select One)
*
Paper
Computer (specify in "Special Instructions" box below the online location of the test, i.e., Carmen)
For computer tests, select all options which apply:
student may ONLY use testing center computer
student may use personal laptop OR testing center computer
lockdown browser MUST be used (specify in "Special Instructions" box below which lockdown browser, i.e., HonorLock)
Special instructions:
Instructor Name
*
First Name
Last Name
Instructor College Email
*
name.#@osu.edu
Contact Phone #
*
Preferred method of contact:
*
Email
Phone #
Attach a digital copy of your exam. .pdf format is the only file type accepted for upload. If you require an exception, please contact the testing center.
Browse Files
Cancel
of
Return of test (select one)
*
In-person: The testing center staff will email a notice to the instructor stating the test is complete and ready for pick-up by the instructor in Warner Center Room 206.
Online Delivery: Completed test will be scanned by testing center staff and sent by email to the instructor's college email address.
No return needed: Since test is online, there is no need for testing center staff to contact instructor.
Submit
Should be Empty: