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Proctor Request Form

Proctors are individuals that are responsible for supervising you as you take an exam. Proctors are needed to ensure educational integrity while the student is taking the exam. Exams must be taken at an educational institution, not at the proctor’s place of residence.

Examples of acceptable proctors are:

  • College testing center personnel
  • Military education director

Relatives, friends or co-workers are NOT eligible to proctor exams.

**This Proctor form is for CPT distant testing ONLY!!! If you need to set up a proctor for an on-line class please click on the link below**

http://www.gulfcoast.edu/students/testing_center/proctor_request_form.aspx

After you have found your proctor, submit a Proctor Request Form: (All fields are required)

 Name of School or approved institution:
 

Name of Student:
 

Student Phone Number:
 

Student Email Address:
   

Proctor Name:
 

Proctor's Telephone Number:
 

Proctor's Fax Number:

* Proctor's Email:
   

We will also need a range of dates (2-4) of when you would like to test.  

* Proctors must have a professional email address. Hotmail, Yahoo!, or Gmail or similar addresses will NOT be accepted

Once the proctor has been approved, it typically takes 24-72 hours to have the testing module set up and ready for you to test.
If you have questions about proctor requirements, call (850) 873-3533 or (800) 311-3685. Or you can email at khillard@gulfcoast.edu

Gulf Coast State College | 5230 West Highway 98 | Panama City, FL 32401 | 850.769.1551
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