Proctoring Request Form

Last Name

First Name

Student #

Phone Number

Email Address

Institution's Name

Institution's Phone Number

Course Name

Course #

Instructor's Name

How will the exam be administered?

Online

Paper

Not Sure

I HAVE READ AND AGREE to the Proctoring Guidelines for Clarkston Independence District Library.

;

I accept the Terms and Conditions.

I understand and agree to fulfill my responsibilities as the student and accept that the
library reserves the right to refuse proctoring at any time should the Guidelines not be followed

Submit