Proctoring Form - IOESS

The purpose of this form is to understand the proctoring needs of faculty and to approve proctoring requests as necessary. A proctoring request does not guarantee in-person/online proctoring will be available. This form should be completed before the start of the semester.

Faculty Last Name*

Faculty First Name*

Faculty Email*

Course Name*

Course Number*

Section Number*

Course Modality*

In person

Hybrid

Online

Dean*

(please select from the drop-down list)

Select or enter value

Department/Program*

Select

If Other Explain

Will you need training or support?*

(responding 'Yes' will automatically send an E-mail to MercerOnline indicating that you will need training or support)

Yes

No

I would be interested in learning how to create assessments in Blackboard.*

Yes

No

Assessment Information Section:

How many assessments will you need?*

One

Two

Assessment Name*

Assessment Start Date*

(please select the date of the beginning of your range)

Assessment End Date*

(please select the date of the end of your range)

Assessment Time*

What type of format for the assessment?*

Select or enter value

2nd Assessment Name

2nd Assessment Start Date

2nd Assessment End Date

Assessment Time 2

What type of format for the 2nd assessment?

Select or enter value

Are your requesting more than two tests?*

Yes

No

You selected 'Yes', please explain.

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