If you intend to take your tests at the VHCC learning lab, you do not need to
fill out this form. Otherwise you will need to supply the requested
information. Your instructor will then contact your proposed proctor to
agree on procedures, and you will be informed by email when this occurs.
You will also be informed by email when the proctor replies.
Your course (e.g., Mth 151, Mth 173, Phy 121, Phy 232, etc. ):
Enter your access code in the boxes below.
Remember that it is crucial to enter your access code correctly. As
instructed, you need to copy the access code from another document rather than
typing it.
Your Name:
Your VCCS email address. This is the address you were instructed in
Step 1 to obtain. If you were not able to obtain that address, indicate
this below.
You may enter any message or comment you wish in the box below:
The location of the proposed testing site (the institution and the facility
within the institution, e.g., VHCC Learning Lab):
The name (and title, if applicable) of the contact person:
Testing information will be sent to your proctor or to the testing center via
email, and an email address is therefore necessary.
Some testing centers prefer that I send information to a central address so
that all personnel at the center can access the information. You should
determine whether this is the case for your proctoring site, and if so you
should provide that email address either in addition to or instead of the
address of your specific proctor.
Please give the appropriate email address(es) in the box below.