Proctored Test Request Form

(This form is for NCMC Instructors. Please submit this proctor request each time you test.)


Return this completed form to, interoffice mail, or drop it by GH111.

Testing Center Information
  1. Testing Center rules ***Please see included Testing Room Early Closing Policy***
  2. If student does not have ID, proctor will attempt to contact instructor. If proctor cannot contact instructor, library staff will take picture of student & send to instructor.
  3. If a student is suspected of cheating, library staff will follow instructor’s instructions below. The recorded segment will be saved until the end of the following semester.
  4. At this time, IT believes unsaved testing room recordings will be available for at least 2 weeks from date test taken.
Instructor Name(Required)
Text Me as Well
MM slash DD slash YYYY
MM slash DD slash YYYY
Test Format
Course Term Information(Required)
Students Name (Attach class roster below if needed.)(Required)
Accepted file types: doc, docx, pdf, , Max. file size: 39 MB.
Maximum file size - 39 mega bytes.
Resources for Student Use:

Return exam

If student is suspected of cheating?(Required)
MM slash DD slash YYYY