EmailMe Form - EXAM PROCTORING REQUEST FORM

BEFORE FILLING OUT THIS FORM, PLEASE CONFIRM *

I have reviewed the information about writing exams at the Library at http://petawawapubliclibrary.ca/2017/wordpress-4/wordpress/services-2/exam-proctoring/ (the Library's Exam Proctoring page).

This indicates you understand and will abide by the guidelines set out on the Library's Exam Proctoring page.

Your Name *

First Last

The name given MUST match the name on the exam AND the ID presented on the day of writing.

Your Email *

Your Phone # *

### - ### - ####

Name of College/University/Institution

Note for Athabasca students: Athabasca University sets out specific timelines for booking exams. Please take this into account when selecting a date as a request to reschedule may NOT be granted by the proctor.

Preferred Date and Start Time *

MM / DD / YYYY HH : MM AM/PM

Proctoring is only available MON - FRI.
You may request a START time between 9:30 am and 1:30 pm.
You may schedule ONE exam per day.

In case your preferred Date and Time
are unavailable, please enter
a second option that might work

MM / DD / YYYY HH : MM AM/PM

In case your preferred Date and Time
are unavailable, please enter
a third option that might work

MM / DD / YYYY HH : MM AM/PM

What is the format of your exam?

Online?

Hand written?

I don't know

Will the proctor need to fill out and return a form to your school?

Yes

No

I don't know

If yes, this can be dropped off or sent by email at a later date.

Use this space to add information or questions not addressed above