Correspondence Test Proctor Request
Testing Center-Kilgore Campus1100 Broadway Kilgore, TX 75662903.983.8215 phonetesting@kilgore.edu 903.988.3707 fax
Proctoring Guidelines: Read Carefully
1. Students should submit this form at least 72 hours prior to the desired test date to testing center and BEFORE
asking the host institution to send the exam materials. Last minute requests may not be honored.
2. Students should indicate their course information including test dates on this form and must submit a separate
form for each course each semester services are requested.
3. Appointments must be requested at least 24 hours in advance of the desired test date once test materials have been
received from your instructor. Test materials must be on file with the testing center before an appointment will be
scheduled.
4. Exams must be scheduled Monday – Thursday only no later than 2pm. Exams exceeding 3 hours in length will
not be proctored.
5. Exams will not be proctored on college holidays, during late registration periods or finals weeks.
6. Students must pay the proctoring fee for each exam. Proof of payment (receipt or receipt number) must be
provided when requesting a testing appointment.
7. Students will only be allowed to use materials specified by instructor.
8. Students should not bring children or other visitors to their testing appointments. Waiting areas will not be
provided for such guests.
9. Students will not be allowed breaks during exams without a medical notice.
10. Completion of this form does not guarantee or confirm your appointment request.
11. Once this form is received the student will receive an email explaining whether or not the requested exam can be
proctored. If the exam can be proctored, the student will be contacted with instructions for scheduling a testing
appointment.
Section I. Student Verification:
I ________________________ have read and agree to abide by ALL of the proctoring guidelines listed above. I
understand that I must pay the proctoring fee ($30) for each exam I take at the Kilgore College testing center located on
the Kilgore campus. I understand that I must also provide proof of such payment prior to scheduling an appointment for
testing. I agree to completely turn off my cellular and all other electronic communication devices upon arrival to the
testing center and agree not to bring children or other guests to my testing appointment. I UNDERSTAND THAT IF I
FAIL TO FOLLOW THESE GUIDELINES, I MAY BE REFUSED SERVICES AND MAY BE IMMEDIATELY
DISMISSED FROM THE TESTING CENTER. I further agree to abide by all of the Kilgore College testing center
guidelines and procedures.
Signature____________________________________________ Date______________________________________
Section II. Institution Information: Please print:
Instructor or Institution/Agency Name:_______________________________________________________________
Instructor or Institution/Agency email:_______________________________________Course:__________________
Instructor or Institution/Agency Phone #_________________________ Time Limit for Exam_____________
Section III. Student Information: Please print
Student Name_______________________________________________ Phone_______________________________
Address_________________________________City__________________________State_________Zip__________
Email__________________________________________ Requested test date(s) _____________________________
Please return this form to the Kilgore Testing Center by email at testing@kilgore.edu or by fax at 903-988-3707.
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