Request a Proctoring Session

2. First Name*

3. Last Name*

5. Phone Number*

7. Email Address*

   If you do not have an email address, please enter 'noemail@noemail.com'

9. What is the exam you need to have proctored?*

11. How long will your exam last?

13. What is the due date for the exam?
    What is the due date for the exam?

15. Exam Dates

    Please provide three dates and times you can take the exam above.

17. Will the exam be handwritten or online?

    1. Handwritten
    2. Online

19. Name of school, instructor, or testing service*

21. School, instructor or testing service's email*

23. School, instructor or testing service's phone number

25. Does your school, instructor or testing service allow a library to be used as a certified proctoring location?*

    1. Yes
    2. No
    3. I don't know

27. Does you school, instructor or testing service require that the proctor be a certified librarian?*

    1. Yes
    2. No
    3. I don't know

29. Does your institution require that you be fully supervised for the duration of the exam?*

    1. Yes
    2. No
    3. I don't know

31. Do you agree to Independence Public Library's terms for proctoring exams?*

    1. Yes
    2. No

    Please note the following as part of the library's terms for proctoring exams: The library staff member will ensure that the person taking the exam meets its requirements, such as verifying ID and whether he or she has any accompanying materials. However, it is not possible for staff to remain with the person taking the exam for the entire time of the exam.

33. See the library's terms for proctoring exams.
    Proctoring Exams

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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

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