Course Information Sheet
Testing Center-Kilgore Campus1100 Broadway Kilgore, TX 75662903.983.8215 phonetesting@kilgore.edu
Please complete this form for each course you teach and return to
mbonner@kilgore.edu or to bstoker@kilgore.edu by the fifth (5
th
) class day of the
semester.
Please print:
Length of exam:_______________ (if no time limit indicated, students will receive 90 min. for regular and
midterm exams and 2hrs. for final exams)
Test version: paper & pencil online/computer based Lockdown browser
At the end of each testing period, paper tests will be: picked up returned campus via
mail
At the end of each testing period, scratch paper should be: shredded returned via
campus mail
Authorized Supplemental Materials: Please put a (x) beside the appropriate item
Scantron (100 question)
Blue book
Notes (please specify)
Scratch Paper (provided by testing center)
Index card(s)
Text book
eBook
Formula sheet
Calculator (some calculators are
prohibited in the testing center)
Type______________________________
Other aids (specify in box below)
Special Testing Instructions: Please type or print passwords for online exams here.
Is this exam available at the KC Longview testing center? Yes No
Test information including passwords may be shared with the following individuals or
departments_______________________________________
Instructor Signature:_________________________ Date:_______________ Updated 01/19
Instructor Name:
Instructor email:
Course Prefix and number:
Instructor Phone (include an alternate number) #:
Test Number/Name and Test Date(s) Please include start and stop dates (No Friday testing)
ATTENTION: Please keep in mind your students will NOT be allowed to test until this
form is submitted AND your test materials have been received in the Testing Center.