Test Proctor Request (Student Form)

Student Proctor Request

When you are finished, a copy will be sent through email to you, the CLASS office, and your instructor for approval. Submit your form at least seven days before the test date.

My name is .

My Augsburg email address is @augsburg.edu.

My phone number is .

This test proctor request is for this course:
Department (2 or 3 letter code)
Course Number (3 digits)
Section Letter

My instructor is Professor .

My instructor's Augsburg email address is @augsburg.edu.

The test is scheduled for this date (mm/dd/yy): / / . The test is scheduled at this time:

Accommodations (check all that apply):
extended time: 1.5x or
extended time: 2x
reader
writer
limited distraction
computer to type answers
scanned exam
Other notes:

CLASS Office Groves Lab - Request Test Accommodations

Student Proctor Request When you are finished, a copy will be sent through email to you, the CLASS office, and your instructor for approval. Submit your form at least seven days before the test date.

Student Proctor Request

When you are finished, a copy will be sent through email to you, the CLASS office, and your instructor for approval. Submit your form at least seven days before the test date.