Exam Proctoring Request Intake Form

Exam Proctoring Request Intake Form

Due to space and staffing constraints, we are only able to accommodate proctoring on Fridays of weeks 1-11 during the hours of 11:00 a.m. to 1:00 p.m.

We are unable to proctor exams for entire classes, unless there are extenuating circumstances.

Important if Request is for Room Use Only

Single rooms can be reserved in the BTC lab (Chiles 326) by emailing lcblabtech@uoregon.edu

If you require a larger room, please submit a request via this link: https://www3.lcb.uoregon.edu/forms/roomrequest/request-form.aspx.

Otherwise, complete the form below.

Class*

(ex: BA101, ACTG211)

Instructor Name*

Instructor Email*

What is the best way to contact you if there is an issue on the day of the exam?*

Time Allotted*

All exams will commence at 11:00 a.m. to limit disruptions
The timer will not be paused for restroom breaks without your explicit permission
Enter custom time duration if it is not included in the dropdown

1 hour 20 minutes

Is this a Canvas exam?*

We are unable to provide computers. If students cannot use their own computers, we will not be able to proctor this exam.

Select

Are additional resources permitted?*

Please use the Additional Instructions box at the end of the form if you need to provide more details.

Select or enter value

Will the exam use Scantrons?*

Select or enter value

Would you like your scantrons graded by our office?*

You will need to submit our scantron intake request if you would like us to grade your exam(s). You will be responsible for providing a key on a scantron.

Yes, please grade my scantron(s)

No, I will hand-grade my scantrons myself

Expected number of students taking or making up the exam?*

Student Name(s)*

We are unable to offer proctoring for entire classes, unless there are extenuating circumstances.

Exam Date & Time Details

Please note that we offer proctoring for small groups of students (NOT entire classes) during the hours of 11:00 a.m. - 1:00 p.m. on Fridays only, unless you have extenuating circumstances.

Scheduled Exam Date*

Proctoring requests for any other day or time than our regular Friday sessions are subject to approval from the Dean's Office staff.

Upload your exam here or drop a copy of the exam to the Dean's Office, Lillis 350

Drag and drop files here or

Additional Instructions

If there are multiple versions of the exam, please indicate how you would like those to be distributed. By default, for a two-version exam administered to multiple students, we would alternate versions based on where the student is seated.

Please click the link below if you want us to grade your scantrons.

Submit scantron intake form

Send me a copy of my responses

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