Fill - Free fillable SANTA ANA COLLEGE ONLINE COURSE TEST PROCTORING FORM (Santa Ana College) PDF form

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SANTA ANA COLLEGE

ONLINE COURSE TEST PROCTORING FORM

Santa Ana College Distance Education, Cesar Chavez Building Room A-101, (714) 564-6725, DistEd@sac.edu

STUDENT QUALIFICATIONS TO OBTAIN A PROCTOR

A proctor is an approved adult who observes a student who is taking an examination for the purpose

of assuring academic honesty and test integrity. Student must secure a proctor at an off-site location

if:

1. The student is unable to come to the Santa Ana College campus to take a required proctored

exam, and;

2. The student lives or works more than 50 miles from the Santa Ana Campus. (This includes

military students, and students out of state and out of the country.)

APPROVED PROCTORS

If a student is unable to take his or her examination(s) at Santa Ana College, the student must

arrange to have the examination(s) supervised by an appropriate proctor. Qualifications of the

proctor must accompany the Test Proctoring Form.

One of the two approved proctor options are required by Santa Ana College:

1. A university, college or community college testing center proctor. (If the university, college or

community college has a test center, students are expected to have their exams proctored

there.)

2. Professional testing center proctor.

Note: In all cases, the proctor must be willing to stay with the student for the full duration of

the exam. Friends, relatives, neighbors and direct supervisors of the student are NOT

permitted to proctor examinations.

Updated 1/28/20

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ARRANGING FOR A PROCTORED EXAMINATION

To take an off-site proctored exam, the student must secure an approved proctor and an approved

test location as follows:

1. Find a proctor and test site. Contact the testing center at a university, college, or community

college near you. Retain a qualified individual to proctor your examination. Arrange for a date

and time for the exam. You are responsible for paying any expenses involved. Suggested

locations:

• National College Testing Association (NCTA)

• California Community Colleges Proctoring Network

2. Fill out paperwork to get proctor and test site approved. Complete the information required

on the Test Proctoring Form (page 3 and 4), and have the proctor sign it. Fax or scan and

Email the completed and signed form to the Distance Education Office. This completed form

must be received no later than two weeks days before the first day of testing.

3. Await approval. The proposed proctor may be approved or disapproved based upon the

assessment of the request, after the Distance Education Office contacts the proctor. You will

be notified if the proctor is approved or not approved.

4. Your proctor will receive your exam. After your request is approved, the exam(s) and

instructions will be faxed or Emailed to the proctor (Email is the preferred method). It is the

student’s responsibility to confirm the date and time of the exam with the proctor.

5. Your proctor will return your exam. Your proctor must return your exam by fax or Email to

the Distance Education Office by the date marked on the Off-Site Proctor Instruction Sheet,

which will be sent with your exam.

Note: Notify the instructor and the proctor if you need to reschedule your exam.

Updated 1/28/20

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The Distance Education Office must receive this form at least two weeks in advance of

the test date.

Fax or scan and email this completed form to the Distance Education Office.

This section needs to be completed by the student:

Semester:

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SANTA ANA COLLEGE

OFF SITE TEST PROCTORING FORM

Santa Ana College Distance Education, Cesar Chavez Building Room A-101, (714) 564-6725, DistEd@sac.edu

_____________

__

Subject & Course #: (ex. ACCT 101):

_________________ _ Section: _____________________

Name of Instructor:

Instructor’s Email Address:

SAC Student ID Number:

Name

of

Student:

Student's

Address:

Students

Phone

Number:

Student's

Email:

Dates

of

Proposed

Exams:

1: 2:

3:

4:

Reason for Request:(see Qualifications to Obtain a Proctor - Page1)

I have read and understand the Student Qualifications to Obtain a Proctor (Page1)

Student Signature

Date

Updated 1/28/20

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click to sign

signature

click to edit

This section needs to be completed and signed by the Proposed Proctor:

Proctor Name: Title:

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SANTA ANA COLLEGE

OFF SITE TEST PROCTORING FORM

Santa Ana College Distance Education, Cesar Chavez Building Room A-101, (714) 564-6725, DistEd@sac.edu

_______________________________ ________________________

Institution Name:

Institution Address:

Phone number:

Email Address (at the institution):

Qualifications of Proctor (See Approved Proctors on Page 1):

(Please list qualifications on lines below and check the boxes below after reading the statements)

□ I attest that I am not a friend, relative, or direct supervisor of the student.

□ I have read and attest that I meet the proctor qualifications (see Approved Proctors

page 1)

□ I attest that I can and will provide an appropriately secure environment for this student

to complete the designated examinations for this course and will abide by the

instructions of the instructor.

□ I further attest that I will retain the confidentiality of this examination strictly according to

the instructions provided by the instructor and Santa Ana College.

□ I understand that I will not be compensated by Santa Ana College for any costs

associated with proctoring examination (s).

□ After receiving confirmation from the Distance Education Office at Santa Ana College, I

will destroy and delete all materials.

S

ignature of Proposed Proctor

Date

Proctor: Please Scan / Email this completed and signed Off Site Test Proctoring Form to :

Santa Ana College - Distance Education Office

Email: DistEd@sac.edu

Updated 1/28/20

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click to sign

signature

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