Faculty Proctor Request Form

Testing Centers are designed to administer tests on an individual basis. Traditional course sections cannot be accommodated as an entire class.
All TCC Testing Centers are appointment based. Students must contact 757-822-2194 or testing@tcc.edu to schedule an appointment. Appointments must be made no later than 48 hours in advance.
All forms are due minimally 24 hours prior to the exam Start Date.
Forms submitted less than 24 hours may not be accommodated.
All test dropped off or picked up from the Testing Center will need to be signed in and out by faculty or designated representative (with proper ID). Students are not permitted to drop off or pick up exams.
The Testing Center WILL NOT accept a student’s work completed outside of the Testing Center (i.e. extra credit, homework, projects, etc.).
A single submission for multiple sections of the same exam is allowed. The exam must require the same access and/or password for each section. Each roster must be clearly identified by section.
Instructors must complete a separate Request Form for each course exam. You must use a new form for each test that you need proctored.
Each request must have a Start & End Date- The end date should be the last date in which the student can take the test. The Testing Center will not administer an exam after the End Date; therefore a new Faculty Request form will be required. In the event of an emergency, please contact the testing center.
Students will be required to present a valid photo-identification in addition to having their TCC student ID number before testing.
Students must supply required testing items such as Blue Books, SCANTRON forms, calculators, etc.
The Testing Centers will supply pencil and scratch paper only.
The use of external electronic devices, tablets, cell phones, etc. to access E-books is prohibited.
Students with accommodation exams needing a Reader, Scribe, and/or Separate Room will require an appointment.
Testing Centers MAY NOT administer an exam if a student is more than 15 minutes late for a scheduled exam or reschedule an exam for a student without the instructor’s written permission.
All proctored exams must be started at least 2 hours before closing.

Read the terms above, acknowledge and agree by checking the box.*

I have read and understand the terms.

Instructor Name*

First Last

Instructor Email*

Instructor office phone number*

If we need to reach you…

Provide an additional phone number we can use to reach you if questions arise that need an immediate answer. This number will not be shared with the student.

Cell/Alternate phone number*

Describe this test (mid-term, quiz 1, etc.)*

This request is for a(n)*

Hybrid or Online Course exam

Make-up exam

Accommodation exam

Course prefix*

Course number*

(up to a 3-digit number, e.g. BUS 100, MTE 1, etc.)

Is this exam submission for more than 1 course section?*

Section Number*

Student Name & SISID

Please enter the name(s) and SIS ID number(s) of the student(s) who require the make-up exam. (Maximum of 10 students per request)

First Section Number*

Second Section Number*

Third Section Number*

Fourth Section Number*

Rosters

How will you submit your roster(s)?*

Upload roster file one*

Drop files here or

Max. file size: 20 MB, Max. files: 1.

We prefer XLSX (spreadsheet). Other accepted file types, xlsx, PDF, docx, txt, rtf.

Upload roster file 2*

Max. file size: 20 MB.

We prefer XLSX (spreadsheet). Other accepted file types, xlsx, PDF, docx, txt, rtf.

Upload roster file 3*

Max. file size: 20 MB.

We prefer XLSX (spreadsheet). Other accepted file types, xlsx, PDF, docx, txt, rtf.

Upload roster file 4*

Max. file size: 20 MB.

We prefer XLSX (spreadsheet). Other accepted file types, xlsx, PDF, docx, txt, rtf.

Campus Information

Are you making the exam available on one or all of the campuses?*

Make the exam available on the following campus*

A note about Accommodations

Accommodations are only allowed for those with approved accommodations from the Office of Educational Accessibility. Please ensure your student has been approved for the accommodation being requested prior to making your request.

Have you verified your student's eligibility for accommodations through the Office of Educational Accessibility?

Yes

No

Student's Name*

First Last

Student's SIS ID Number*

Unable to continue

We are unable to continue with this request until you check and verify the student’s accommodation.

How will completed exams be returned?

Pick up

Campus mail

Postal mail (bulk)

Not Applicable (for exam results submitted online)

Select your Campus*

Instructor's department*

Building name*

Room number*

Mailing

If you choose to have the exams mailed to you, exams will be mailed no later than 24 hours after the exam End Date.

Enter your mailing address below*

Street Address City State Zip code

Type the characters from the image below

Faculty Proctor Request Form

If we need to reach you…

Rosters

Campus Information

A note about Accommodations

Unable to continue

Exam Information

Attach the exam and/or supplemental materials

Exam Info

Mailing