Proctoring Request Form - Newark Campus
Faculty are required to submit a test proctor form for each student for each test.
Newark Contact Information
Front Desk- 740-366-9417
Email-
NWK-testingcenter@osu.edu
Student Information
Student Name
*
First Name
Last Name
Student Name.#
*
(i.e. smith.1234)
Test Information
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
Type of Calculator
Special instructions:
Instructor Contact Information
Instructor Name
*
First Name
Last Name
Instructor Email
*
name.#@osu.edu
Contact Phone #
*
Preferred method of contact:
*
Email
Phone #
Test located on (Select One)
*
Paper
Computer
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
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.
Submit
Should be Empty: