Proctor Request Form (NSU Students Only)

NSU Main Campus

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Hours of Operation: Monday through Thursday 7:30AM to 4:30PM and Friday 8:00AM to Noon

Check confirmation email – time request may not be time scheduled.

It is the student’s responsibility to send the proctoring information and confirmation to the Instructor.

Every field must be completed in order to send this form.

    First & Last Name:

    NSU Student CWID:

    Phone Number:

    NSU email address:

    Test Date Requested (ex. Jan 01 1884):

    Time Requested (7:30 a.m., 8:00 a.m., 8:30 a.m., 9:00 a.m, 9:30 a.m., 10:00 a.m., 10:30 a.m., 11:00 a.m., 11:30 a.m., 12:00 p.m., 12:30 p.m., 1:00 p.m., 1:30 p.m., 2:00 p.m., 2:30 p.m., 3:00 p.m., 3:30 p.m.) :

    Time Allowed for Exam (30 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours) :

    Course Number (Ex: Acct 2000):

    Professor's Name: