Instructor Exam Request Form

Proctored Exam Information for Online Instructors


Instructor Information
*First Name:
*Last Name:
*Department:
*Email Address:
*Phone Number:
* UWG Address:
 
Test Information
* Course Name:
(as it appears in CourseDen: ex. Algebra)
* Course ID: (ex: CEPD1101)
*Section Number: (ex. N01)
Maximum Number of Students Enrolled:
Name of Test :
(as it appears in CourseDen)
Password for Proctors (this option is available only if you use CourseDen):
Requested Earliest Date Students can Take Test:
(ex. 11/23/80) (coordinator will contact you with a confirmation or alternate)
Requested Latest Date Students can Take Test: (coordinator will contact you with a confirmation or alternate)
TimeLimit:
Comments:
   
Allowable Items (check all that apply)
Calculator
Text Book
Class Notes
Crib Sheets
Scantron
Blue Book
Periodic Table
Colored Pencils
Rulers
Scrap Paper
None of the Above
Other

Please review your information above before submitting.