Proctoring Services Request

Proctoring Services Request
Instructor Information

Instructor will be contacted in case an exam issue arises.
Instructor Name*

First NameLast Name
Email*
example@example.com
Cell or Home Phone Number*
Please enter a valid phone number.
Course Information
Course Name, Number and Section*
EX: COSC-1301-E01
Mode of delivery:*
Semester*
Exam Information
Name of Test/Final Exam*
Exam Available Date*

MonthDayYear
Date
Exam End Date*

MonthDayYear
Date
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Password Information - No passwords during Final Exams*

*See additional important Information for final exams below.
Canvas Password
Respondus Monitor Password
If you are using the "Either Respondus Monitor or a proctored lab" option, provide the password.
MyMathLab Password
MyOpenMath Password
Authorized Materials - Indicate below whether you will allow students to use resources during the exam.*
Important Information for Final Exams:
- Do not use passwords for Final Exams.
- Final Exams that do not require Respondus Monitor (webcam) and are taken at the testing centers must use only the IP Filter. Learn how to apply the IP Filter in Canvas.
Should be Empty: