VPT Remote Proctor Request Form

Complete the form and return to testing@tcc.edu. Requests for proctored exams and proctors must be approved by Tidewater Community College. The college reserves the right to reject proctor requests. Student must submit this Proctor Request form to Testing Services for approval at least two business days prior to the exam date. All proctors must fit the guidelines of this form and provide a professional e-mail account and physical work address to verify job title.

Part 1: Student Information

Name:

First Last

Student ID Number:

Hidden

Student ID Number:

Date of Birth:

Address

Street Address Address Line 2 City State ZIP Code

Phone:

Email:

Reason for Remote Testing Request:(Required)

(Note-VPT Remote Testing is only available for students out of the area/out-of-state, or out of the country)

Acceptable proctors include:

Local College Testing Center Staff
College or University Administrators
Faculty Members
Counselors
Professional Librarians
Students in the military may use a Military Education or Test Control Officer

Proctors may not be, regardless of titles or positions, a student’s:

Relative
Friend
Employer
Co-worker
Neighbor
Coach

Part 2: Proctor Information

Name:

First Last

Title:

Organization:

Phone:

Proctor Email: