DL: Proctor Request Form for Non-PTC Campuses


Testing Center schedules vary. Please contact your testing center for days and times. In addition, it is very important that when contacting your proctor/testing center that you schedule an appointment.
Please see our Approved Proctor Listing to locate a proctor in your area. If your college of choice is not listed please contact their testing center for proctor information prior to completing the request form.
Approved Proctor Listing
Name (*)
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Address
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City
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State
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Zip Code
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Phone (*)
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PTC ID (*)
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Email (*)
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PROCTOR INFORMATION BELOW
The following is required information on your proctor. Please make sure that the proctor agrees to participate before sending us this information.
Proctor Name (*)
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Proctor's College/University (*)
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Proctor's Title
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Proctor's Address (*)
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Proctor's City (*)
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Proctor's State (*)
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Proctor's Zip Code (*)
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Proctor's Phone (*)
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Proctor's Email (*)
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Proctor's Fax Number (*)
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Course 1 - No. (*)
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Course 1 - Title (*)
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Course 1 - Instructor (*)
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Course 2 - No.
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Course 2 - Title
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Course 2 - Instructor
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Course 3 - No.
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Course 3 - Title
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Course 3 - Instructor
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Course 4 - No.
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Course 4 - Title
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Course 4 - Instructor
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