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
-
Area Code
Phone Number
Backup Proctor Name
First Name
Last Name
Relationship of proctor with student (example: pastor, coworker, business associate)
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Backup Proctor Name
First Name
Last Name
Relationship of proctor with student (example: pastor, coworker, business associate)
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Submit
Should be Empty: