CBTS Proctor Registration
Student Information
Student Name
*
First Name
Last Name
Email
*
example@example.com
Proctor Information
You may register more than one proctor, but only one proctor is mandatory.
Primary Proctor Name
*
First Name
Last Name
Relationship of proctor with student (example: pastor, coworker, business associate)
*
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Backup Proctor Name
First Name
Last Name
Relationship of proctor with student (example: pastor, coworker, business associate)
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Backup Proctor Name
First Name
Last Name
Relationship of proctor with student (example: pastor, coworker, business associate)
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Please verify that you are human
*
Submit
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