BADM 5 -- Mrs. Rivera-Loudon -- Proctor Form -- Barstow College

PROCTOR FORM

I require all students complete a proctor form so I know where you are planning to take your final exam.

Keep in mind that filling out this form does not automatically mean your proctor has been approved. I will still need to contact your proctor to determine their qualifications and willingness to proctor the exam.

Any costs related to proctoring are to be borne by the student. The college is not responsible for proctoring fees.

Please read and follow these instructions carefully when determining who you will use as a proctor.

If you are a Fort Irwin student I require that you use the Barstow College Fort Irwin office to take your exam. For the proctor address type Fort Irwin office and for the proctor name type Jose Hernandez. You will then need to contact the Fort Irwin office to make arrangements for a day and time to take the exam.

If you live in Barstow, Hinkley, Newberry, Yermo, or Daggett I require that you take your exam in the Barstow College Computer Commons. For the proctor address type Barstow College Computer Commoms and for the proctor name type lab techs. See the lab schedule for the times the Commoms are open for exams. You *must* arrive two hours prior to the labs closing to take your exam since the allotted exam time is two hours.

Click here if you plan to have your exam proctored at Barstow College or the Barstow College Fort Irwin campus.

If none of the above situations applies to you then you will need to find your own proctor. Your proctor cannot be related to you or be a fellow student. Examples of a suitable proctor would be a librarian, education officer, school counselor, teacher, instructor, or supervisor. Once you determine who you want to use as a proctor, complete the form below and please make sure you answer all required questions. Please note that your proctor must have an address with a business or school. Proctors cannot use a Yahoo!, Hotmail, or any other free email provider when proctoring an exam. I will not send exam information to these type of email addresses.

All students must complete the form below.

Click the submit button once you have completed your proctor form.

Student Name: (Always use your real name in this box)

Student Email: (Enter your exact email address)

Student Postal Address: Number & Street Student Telephone Number:

City, State, ZIP

Proctor Name: (Always use your proctor's real name in this box)

Proctor
Email: (Enter your proctor's exact email address)

Proctor
Postal Address: Number & Street Proctor's Telephone and FAX Number:

City, State, ZIP

Proctor Title: Has this person agreed to
Proctor your test? Yes No

Student Name:		*(Always use your real name in this box)*
*Student* Email:		*(Enter your exact email address)*
*Student* Postal Address:	Number & Street	*Student* Telephone Number:
	City, State, ZIP

Proctor Name:		*(Always use your* proctor's *real name in this box)*
*Proctor* Email:		*(Enter your* proctor's *exact email address)*
*Proctor* Postal Address:	Number & Street	*Proctor*'s Telephone and FAX Number:
	City, State, ZIP
Proctor Title:		Has this person agreed to Proctor your test? Yes No