Testing Services

Request for Test Proctoring

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Instructions: TMCC faculty may use this form to submit a test proctoring request to TMCC Testing Services. Please carefully fill out this form and press submit. Processing of your request should be completed in no more than two working days, and we will send you an e-mail confirmation.

Please fill out this form completely and press submit.
Course Information:	Subject: Number: Section:
Current Semester:
Instructor's Name:
Instructor's E-mail:
Is this a TMCC class:	Yes No
Name of Institution (if not TMCC):
Have you received notice that this is a Disability Resource Center student?	Yes No
Student's Name:
Date to be taken:	On or between: to
Date to be picked up:
Time Alloted:	Hours Minutes No Time Limit
Student may refer to:	Notes Book Calculator Dictionary Fact/Formula Card Other If Other, please enter:
Type of Exam:	Paper and Pencil Computerized
Testing Restrictions: (This information will be seen by the students on the testing calendar.)
Comments: (Optional. This information will only be seen by the testing center.)
If a test is for the entire class, please list any DRC student names in the comments section. If a fact/formula card is an assigned DRC accommodation, please initial the card after your approval, and attach it to the exam. The testing center will provide pencils, ruled paper for essays and scratch paper only. Students or Instructors will need to provide scantrons if needed. By pressing submit, you are verifying that all of the information provided above is true, correct and complete.

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