CCM Testing Center
Online Testing Form
Please fill out this form in entirety to utilize CCM Testing Center proctoring services for online and
hybrid courses. Faculty must complete and return this form to the CCM Testing Center via email to
firstname.lastname@example.org, in person, or through interoffice mail at LRC101.
This form will help Testing Services administer the exam in an appropriate, secured manner.
Professor’s Full Name:
Telephone Number On Campus:
Full Course Name: __________________________________ Semester: __________ Year:
Section Number Identifier: _____________ (For multiple sections of the same class with different passwords)
DUE TO HIGH VOLUME OF TESTS, PLEASE PUT TEST DIRECTLY UNDER TAB
LABELLED “EXAM” SO STUDENTS CAN FIND IT EASILY.
Platform for administering test:
Blackboard Pearson MyLab McGraw Hill Connect Paper and Pencil
Word Other – Please specify
Date Range Test will be Available:
Test name: (as it appears in the system)
OPTIONS FOR ACCESS TO TEST:
ADDRESS (instead of password) only for tests that launch directly within Blackboard
PASSWORD (instead of IP address):
(Case sensitive) (Inform testing services if changed).
Please check off any allowable aids: (If you make any changes throughout the semester, please
inform testing services). Please be as specific as possible.
No Aids Are Allowed
Textbook Allowed E-Book Allowed Other Book Allowed
Notes Allowed 1 page only: 1 sided or 2 sided Multiple pages allowed
Full Notebook allowed Other
Formula Sheet allowed Charts (for example: Z Tables, Regression, etc.)
Excel allowed Word Allowed Other Software Allowed
Calculator – Please specify type allowed, for example TI-89 or lower, 4- Function only, etc.