Fillable Student-proctor-selection-form Supervised Exam Procedures

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Student-proctor-selection-form Supervised Exam Procedures

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Supervised Exam Procedures
(For Use With Independent Exam Supervisors & Consortium of College Testing Centers)
Each CyberCampus (entirely online) course is required to have at least one supervised exam. To take this exam
you must submit the name of an acceptable person who can supervise your exam(s). Some courses will have a
web-based supervised exam. For web-based exams students will need access to a computer for up to 3 hours
with reliable Internet access conforming to system requirements consistent with a CyberCampus course.
(For additional information about system requirements visit CyberCampus website http://www.ggu.edu/cybercampus)
Student Guidelines and Responsibilities
Students are responsible for securing the services of a suitable Exam Supervisor according to the requirements
listed below. This action must be completed no later than two weeks after the first day of class to ensure
adequate time for the Exam Supervisor Approval process. The Exam Supervisor must be approved before the
midterm and/or final examination is sent out.
If the Exam Supervisor charges a fee, the student must make payment arrangements.
If you do not select a supervisor, you will not be able to take your exam. If you have questions about this
process please call CyberCampus at 415-369-5250 or 1-888-874-2923.
Your Supervisor will be given instructions by your professor and will be responsible for monitoring you while
you take your course exam(s).
Exam Supervisor Guidelines and Responsibilities
1. The Exam Supervisor will be responsible for the following:
a. Receiving the exam sent by CyberCampus, or receiving a secure password for web-based supervised exams.
b. Supervising the exam for the student while adhering to the exam instructions provided. Exam instructions
will include:
-length of exam (not to exceed 3 hours)
-materials students may use (open/closed book etc.)
-what date the exam must be taken by
-the address to mail the exam*
-instructor's contact information
-affidavit of student identity
c. Mailing the exam back to the address on the exam instructions by mail.*
* Web-based supervised exams will not require mailing
d. For web-based supervised exams, a secure password will be sent to the exam supervisor from CyberCampus. This
password will open the online supervised exam.
CyberCampus
536 Mission Street, San Francisco, CA 94105-2968
ph: 415-369-5250 fax: 415-227-4502
e-mail: cybercampus@ggu.edu
website: http://www.ggu.edu/cybercampus
Supervised Exam Procedures Cont.
2. The criteria established for Exam Supervisor approvals are:
a. Knowledge of and experience in the administration of examinations.
b. A professional reputation which would be severely tarnished if improprieties were discovered.
Based on our accreditation, acceptable Exam Supervisors are:
a. a work supervisor (must be someone in a supervisory capacity over the student)
b. a faculty member or administrator of an accredited institution of higher education
c. a school teacher
d. a full-time school or local librarian
e. an officer with a higher rank than the student, if either party is in the military
f. a local college or testing center
g. any member of the Consortium of College Testing Centers. To find a member in your area, go to
http://www.ncta-testing.org/cctc/find.php.
Please note: a proctoring fee may apply for certain testing centers.
Based on our accreditation, non-acceptable Exam Supervisors are:
a. relatives
b. spouses
c. friends
d. neighbors
e. co-workers
Approval Process:
Once you submit the attached form, you will be notified if your exam supervisor is approved or disapproved.
Please Note: complete one form per term for all courses during the term.
If approved, you will be notified by e-mail of approval and your exam will be sent* to your Exam Supervisor
at the requested address on the following form. The student is responsible for scheduling a time and date to take
the exam with the exam supervisor. *password sent directly to exam supervisors for web-based exams.
If disapproved, you will be sent e-mail with a reason for non-acceptance of your original choice and you will
have to download a second supervisor form, which can be found by going to
http://www.ggu.edu/cybercampus and
selecting the ‘Supervised Exam’ button.
Please email, mail or fax the following 'Supervised Exam Approval Form'
CyberCampus
536 Mission Street, San Francisco, CA 94105-2968
ph: 415-369-5250 fax: 415-227-4502
e-mail: cybercampus@ggu.edu
website: http://www.ggu.edu/cybercampus
Exam Supervisor Approval Form
Submission of this form to CyberCampus is not a request to have the exam* sent to your Exam Supervisor. You
will be notified by e-mail of approval or disapproval. *password sent directly to exam supervisors for web-based exams
Student Information (please type or print clearly):
Last Name:______________________ First Name:_______________________
GGU ID #: _______________________ Term &Year:______________________
Course(s):1___________2___________3___________4___________5____________6_______
Instructor(s):______________________________________________________
Day Phone:(_____)___________________ E-mail:___________________________
Employer:_______________________ Position:__________________________
Check here if you're using:
_____Consortium of College Testing Centers and/or _____the same exam proctor from
the previous term
(e.g. SP 10) _________________ to supervise your exam(s).
To be read by the student:
Golden Gate University CyberCampus doesn't condone any form of academic dishonesty. Any act of
improperly representing another person's work as one's own or selecting a prospective exam supervisor that
doesn't meet the criteria found in the "Exam Supervisor Guidelines and Responsibilities" is construed as
academic dishonesty. These acts include, but not limited to plagiarism of any form or use of information and
materials not authorized by the instructor during an exam. Students are responsible for securing an exam
supervisor with no conflict of interest and upholding Golden Gate University CyberCampus standards of
academic honestly.
Exam Supervisor's Information (please type or print clearly):
Last Name:______________________ First Name:_______________________
Employer:_______________________ Position:__________________________
Street Address__________________________________________________________________________
City/State/Country ZIP Code
_______________________________________________________________________________________
CyberCampus
536 Mission Street, San Francisco, CA 94105-2968
ph: 415-369-5250 fax: 415-227-4502
e-mail: cybercampus@ggu.edu
website: http://www.ggu.edu/cybercampus
Contact Information:
Business:( _____ )______________________ Home: ( _____ )____________________
Fax: ( _____ )________________________ Email_______________________ (Required)
Office hours: _________________________________________________________________
Please describe your relationship with the student. If you work together, please describe the chain-of command
under which you work:
________________________________________________________________________
Has the exam supervisor ever been a Golden Gate University Student? If yes, specify year(s).
_________________________________________________________________________
To be read by the prospective Exam Supervisor:
I do hereby agree to administer the exam(s) of the student listed above and to adhere to Golden Gate
University's CyberCampus standards for academic honesty.
I will also adhere to the professor's exam instructions, which will be provided on each exam.
I agree to provide the student with a quiet, distraction- free environment for taking exams and verify the identity
of the student with a valid photo ID and sign the affidavit of student identity returning it by mail.
I agree to provide (for web-based exams only) access to a computer for up to 3 hours with reliable Internet
access conforming to system requirements consistent with a CyberCampus course.
(For additional information about system requirements visit CyberCampus website http://www.ggu.edu/cybercampus)
I understand that, the student will pay any fees associated with administering these exams. Therefore, I will be
responsible for making arrangements for necessary postage fees with student before exam and mailing the
completed exam.
I agree to provide adequate exam security as long as these documents are in my care. I understand verification
of my employment and/or credentials may be requested.
CyberCampus
536 Mission Street, San Francisco, CA 94105-2968
ph: 415-369-5250 fax: 415-227-4502
e-mail: cybercampus@ggu.edu
website: http://www.ggu.edu/cybercampus
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Student-proctor-selection-form Supervised Exam Procedures

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Completed 19 February 2020

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