Keep a copy of this form for your records

Student Information


Student Name *

College ID Number *
Address *
City *
State: *
Zip *
Telephone Day Fax
E-mail Address *
Semester *
Course Title *
Course Code *
Choose one of the following methods*

Method 1: Select the state/country and base at which your exam will be administered. Within 7 business days of submitting this form, you will receive a Proctor Verification email listing the office and the mailing address to which your exam will be mailed. You must contact that office/proctor/center directly to arrange for a specific test date and time.

*Please contact your proposed Education Office prior to submitting this form to ensure that office will administer your exam(s).

 

Choose State/Country:



  Select Test Site:


Method 2: Method 2 is to be utilized only for locations not listed in Method 1. If you have any questions about completing this form, please contact testing@tesc.edu .

 

Proctor Name:

 

Proctor's Rank/ Title:

 

Proctor's Work Email:

* Required Fields

Reminders

  • This form must be submitted to the Office of Test Administration by the end of the first week of the semester.
  • Submit this form for each course in which you are enrolled at the beginning of each new semester.
  • Print this form for your records before submitting electronically.
  • If you do not receive email verification within 7 business days, please contact the Office of Test Administration at testing@tesc.edu.