Request for Test Proctoring

Request for Test Proctoring
Test proctoring is available Wednesday - Friday between 10am and 3pm. The fee is $10 per test for the first 2 hours and $5 per hour thereafter. Please read the full test proctoring policy before submitting this form.
Name *

First Name Last Name
E-mail *
example@example.com
Phone Number *

Area Code Phone Number
Test Proctoring is available Wednesday - Friday from 10:00am to 3:00pm. Please select your preferred test date and time, and an alternate, if applicable.
Requested Test Date (First Choice) *

Month Day Year
Date Hour Minutes AM/PM Option
Requested Test Date (Second Choice)

Month Day Year
Date Hour Minutes AM/PM Option
Test Duration *
Test Fee is per test. Testing must be completed by 3:00pm.
Testing Institution *
Instructor Name *
Instructor Email or Phone Number *
Format of Test *

Online Paper
Additional Notes:
Please verify that you are human *
Should be Empty: