UTB Test Proctoring Form for Online Students

STUDENT'S INFORMATION

Student's Location:  
Student's ID Number:  
Student's Full Name:  
Student's Email:    
Student's Phone:  
Course Name:  
Course Number:  
Instructor's Name:  

EXAM DETAILS

Date:    
Time:  
Test/Quiz Number:  

Please read the UTB Test Proctoring Policy, Guidelines, and Responsibilities for Online Students before you submit this form and type "I Agree" in the following text box.

Test Proctoring Agreement:  
Do you need test accomodations due to dissability?