Your student has requested proctoring services from SSD.  Please submit and complete this form within 24 hours.

All fields must be completed.

TO BE COMPLETED BY THE PROFESSOR
Student Requesting Proctoring Accommodations
Exam Details for Student Requesting Accommodations
:
Example: 90 minutes
Instructions for exam administration
Provide building and room.
SSD office hours: Mon. - Fri. 9:00 a.m. - 5:00 p.m. (Fall and Spring semesters)
By submitting this form, I authorize SSD to administer the test to the student as outlined on this form. I have discussed this form with the student and approve the information provided. Form and exam should be received by SSD office no later than 24 hours before exam administration.