Proctored Exam Request Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailPhone Number *Course Name / Exam Title *Name of School/ College / Institution *Name of Professor/Instructor *Professor's/Instructor's Email *EmailConfirm EmailProfessor/Instructor Phone Number *This is a College, University, or Specialty Certification Exam *YesNoHas your professor/institution already approved you to take your exam at our test center?YesNoI am not sureStudent Affirmation *I understandI need to take the exam within 5 business days and will call the number listed below to request expedited coordination.By checking this box, I understand that I am giving the test center and my college at least 5 business days to coordinate approval and exam proctor access. If required by my school, I have submitted a proctor approval request form to my school or will attach it to this request form for completion by test center staff. If I am submitting this request within less than 5 business days, I will call the test center at 281-822-5900 to request expedited coordination, if possible.Type of ExamPaperComputerName of Online Course *360Training.comABMDIGIAKaplanMBitionToLearnMcKissockReal Estate ExpressTexas State OnlineThe Adjuster SchoolVanEdOtherPlease select one choice. If your institution is not listed, please select "Other".Please specify online course/school if not listed above:Total Time Allowed to take the Exam *Specify # hours or minutesAdditional information that would be helpful for us to set up your exam: *File Upload Click or drag files to this area to upload. You can upload up to 2 files. Upload any additional forms required for your institution and/or supporting documentation.Submit
