Before scheduling your exam please read the RODP student guidelines.
Please answer all questions and fill in all blanks.
|
Student Information: 1. Your Name (First, Middle, Last) |
Birth Date |
Email
Phone (Include Area Code) |
| Instructor Information:
2. Instructor Name |
|
Phone (Include Area Code) |
| Course Information:
3. Course Name |
Course Number |
Your Home Institution |
Semester:
Note: It is the student's responsibility to make sure the exam is taken during the acceptable time period set forth by the Instructor.
| 1st Appointment:
Pick an Exam: |
If other please specify |
|
1st Choice: |
Please Enter Arrival Time (Allow enough time to complete your exam before the close of proctoring session) |
|
2nd Choice: |
Please Enter Arrival Time (Allow enough time to complete your exam before the close of proctoring session) |
|
2nd Appointment: Pick an Exam: |
If other please specify |
|
1st Choice: |
Please Enter Arrival Time (Allow enough time to complete your exam before the close of proctoring session) |
|
2nd Choice: |
Please Enter Arrival Time (Allow enough time to complete your exam before the close of proctoring session) |
Upon receipt of this form we will send an e-mail to your instructor requesting test materials.
Confirmation of your scheduled appointment will be sent to you by email.