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Proctor Request Form
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Proctor Request Form

Please Note:

  • Proctor requests, please allow 5 business days for processing requests.
  • Any cancellations that need to be made must also be requested 48 hours before the reservation date.
  • If you have any questions, please contact 832.842.2800, or email examcr@uh.edu.

  • Today's Date (mm/dd/yyyy)
    Instructor's Name
    Email Address
    Course
    Class
    Date of Exam
    Duration of Exam - Start and End Time
    Type of Test  
    Quiz Closed Book/Note
    Exam Open Book/Note
    Mid-Term Exam  
    Final Exam  
    Make-up Exam  
    Resources that the student may take into the testing room:
    none blue book
    four-function calculator dictionary
    multi-function calculator thesaurus
    laptop computer scantron
    other (please specify)
    Special instructions for administering exam:
     
     
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