Semester: /
E-mail: Phone: 217-443-8708 Fax: 217-443-8715
Test Proctor Form
Danville Area Community College-Testing Center
Please add student’s name below or send a class roster.
Instructor: Course:
Does your student receive accommodations through Disability Services? Yes No
Student (s)
Exam Date: Start Date End Date
(Test will be shredded after end date unless otherwise indicated)
Student will make their own appointment
Instructor will make an appointment
Appointment Date: Appointment Time:
(If you prefer to make an appointment for your student please indicate the date and time, otherwise your student MUST schedule their appointment before testing.)
Items students may use: Notes Calculator (4 funct) Scan-tron
Note Card Calculator (scientific) Essay Paper
Books Time Limit:
(indicate if untimed)
Exams will be: Returned
Instructor Pick Up
Campus Mail
Mary Miller Pick-Up
U.S. Mail (Registered) Address:
Other comments/special instructions: