B Virtual – Online Proctoring Test/Exam Information

Instructions: Please complete the form in its entirety. Save to your computer and email to . Please have your exam ready in your course on Blackboard. Please submit at least 2-3 weeks prior to the exam date.

Professor Name (First and Last):

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Professor Email Address:

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Professor Extension/Phone:

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Exam Name (as it should appear in the proctoring software selection list – include part of the course title):

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Course CRN/title (INCLUDING Section):

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Location within your course (how do we get to the exam?):

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Exam Password:

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Exam Format: Online

Exam Access Instructions:

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Number of Students to Take Exam: Click here to enter text.

Time Permitted for Test/Exam (Duration): Click here to enter text.

Are there any modifications for students with disabilities? If so please list them:

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Exam Available: Click here to enter text.

Exam Closes: Click here to enter text.

Select ALL of the items/resources students are PERMITTED while writing the assessment:

☐ / Open Textbook / ☐ / Dictionary/Thesaurus
☐ / Student Notes / ☐ / Electronic Resources
☐ / Formula Sheet / ☐ / Blank Sheet of Paper
☐ / Calculator (indicate models that are permissible)
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☐ / Online Resources (provide links for all sites that are permissible):
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☐ / Computer Programs (provide the name of the programs that are permissible):
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☐ / Other (Provide details):
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Is there any other information you wish the proctor to know about this assessment? Please provide as much detail as possible.

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