Examination Proctoring Request Form

Proctor Examination Request Form

It is the student’s responsibility to locate and identify an appropriate proctor. The selected proctor MUST NOT be a family member, friend, or co-worker. He/she MUST be employed by an education institution, public library, or other pre-approved agency. Also the student has to be available to speak to a representative of the University of Connecticut for verification. and be able to receive email and attachments and print the attachments. The student has to have access to a fax or scanner to send completed exams back.
  • Student Information

  • Date Format: MM slash DD slash YYYY
  • :
  • Proctor Information