Fillable Exam Proctor Request (Columbia College)

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Exam Proctor Request (Columbia College)

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Exam Proctor Request
Columbia College Library
Note to Instructors: Submit this form along with a copy of the exam to cclibrary@yosemite.edu.
24 hour lead time is appreciated, but we will attempt to accommodate all requests.
Student’s name: ________________________________
Class: ________________________________________
Instructor’s name: ______________________________
To be taken no later than: ________________________
Date
Time allowed: ____________
Special note and instructions:
No books, notes, etc.
Books, notes, etc. okay
Calculator okay
Word processor (with spell check) okay
Other: ____________________________
____________________________
____________________________
____________________________
For Library Staff Use Only
Date test taken: _______________
Time at start of test: ______________________
Time test turned in: ______________________
Return to: ______________________________
Given by: _______________________________
Library staff person’s name
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Completed 19 July 2020

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