Request an Exam

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Follow the directions as prompted. Fill in all the requested fields completely. Incomplete Exam Request Forms may delay the sending of your exam. Please check your syllabus and make sure all required assignments for the exam are submitted and graded before submitting this form.

The exam room at the Independent Learning office is now closed. All students requesting an exam will need to find a qualified proctor to supervise their exam.

Students will receive a confirmation message when the submission has been received. The IL office will notify the student when their exam is ready. Students can then call their proctor and set up a date and time to take the exam.

* Indicates a required field.

Part A
Name





Contact Information
Address





 
For non-U.S. address only





* Phone Number
-
 
For International Phone Only -


Examination Information



Part B
Proctor Name





Proctor Institution Contact Information

 
Institution Address






 
For non-U.S. address only





Institution Phone Number -
 
For International Phone Only -


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