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Please complete this form. You will be contacted if your proctor approval requires additional verification documentation.

Student Information
Instructor Information
Proctor Information (Relatives and friends are not suitable proctors)
Has this person previously served as a proctor?  

Business Address

Is this person able to proctor online exams?  

Is this person a friend or relative?   Please note: Relatives and friends are not suitable proctors, and the use of an unauthorized proctor is considered an act of academic dishonesty

By agreeing, I certify that the enclosed information is true and legitimate, and complies with the corresponding guidelines outlined by course and University policies, and that the proctor is not a relative or friend. Failure to abide by course and University policies on academic integrity will be reported to the College of the Liberal Arts, and academic sanctions may fall upon me.

Please indicate your agreement with the above statement.