College of Continuing Education IDL Request for Off-Campus Exam Form

This Section:

	Independent and Distance Learning

	Registration Courses Online Programs How it Works Tuition FAQ Forms Student Resources Request a Catalog Contact Us

Related Links:


	Evening Credit Classes Credit Certificates

U of M Home | CCE Home | Search | Register

Request for Off-Campus Exam Form

Submit this form if you want to take your exam at a location other than CCE Information Center, University of Minnesota—Twin Cities campus. Allow one to two weeks for the delivery of your exam.

CCE Information Center verifies all proctors and reserves the right to approve or reject any proctor. You must report for the exam within thirty days of the proctor's receipt of your exam.

Please fill out the following form and press "CONFIRM." After you check your information, press "SEND REQUEST." Please be sure to complete all fields.

STUDENT INFORMATION
Your First Name:	Your Last Name:	Your U of M Student ID:
Your Mailing Address:
City:	State: Zip:
Your Daytime Phone Number:	Your E-mail Address:

COURSE INFORMATION
Course Dept. and Number (e.g., EngL 3020):	Course Title:
Instructor's Name:
Exam you are requesting (e.g., exam 2, midcourse, etc.):
Date (approximate) that you plan to take this exam:

PROCTOR INFORMATION (see Academic Policies, and scroll down to Exams for Suggested Qualified Proctors)
Proctor's First Name:	Proctor's Last Name:
Proctor's Title:	Proctor's Institution:
Proctor's Mailing Address:
City:	State: Zip:
Proctor's Daytime Phone Number:
Proctor's Fax Number:
Proctor's E-mail:		Your Initials (for verification):

Last modified: December 27, 2007

For more information call 612-624-4000.