Test Proctoring Request

We must receive this proctor request at least one week (7 days) prior to your first preferred exam date.
You must request a proctor for each course, preferably at the beginning of the semester.
Once you have been assigned a proctor, you are responsible for contacting that proctor at least one week prior to all subsequent exams.

Your Name*
First Last
Email*
Phone
Have you used our proctoring service before?*
- No
- Yes
Proctor's Name
Do you remember the library staff who assisted you before?
School Information
Name of School*
Course Name*
Instructor's Name*
Test Information
We require at least seven days notice prior to exam date.
Exam Due Date
MM slash DD slash YYYY
Exam Preferred Testing Date
Enter your preferred date(s) and time(s) you'd like to take the test.
Additional Exams
- I have other exams and dates I'd like to schedule
Exam 2 Due Date
MM slash DD slash YYYY
Exam 2 Preferred Testing Date
Enter your preferred date(s) and time(s) you'd like to take the test.
Exam 3 Due Date
MM slash DD slash YYYY
Exam 3 Preferred Testing Date
Enter your preferred date(s) and time(s) you'd like to take the test.
Exam 4 Due Date
MM slash DD slash YYYY
Exam 4 Preferred Testing Date
Enter your preferred date(s) and time(s) you'd like to take the test.
Other Information

Topeka & Shawnee County Public Library