74784642
Student Accessibility Services (SAS) 

Proctoring 

Instructions 

 

 

 

 

 

**Student must make an appointment through the SAS Office if they wish to utilize SAS 

testing accommodations. We require 24 to 48 hours notice on all test(s), to ensure that we 
have the following: an established quiet testing environment, students test, and proper 
staffing. No student will be tested without an appointment. 

 

 

INSTRUCTOR: ________________________________________________ 

 

COURSE: _____________________________________________________________________________ 

 

STUDENT NAME: _______________________________________________________________________ 

 

Date by which exam is to be completed: ____________________________________________________ 

 

NORMAL CLASS TIME: ______________________ EXTENDED TEST TIME: _________________________ 

 

Allowable exam assistance: textbook notebook note cards 

 calculator computer reader/tape recorder 

 

Other special instructions: _______________________________________________________________ 

 

_____________________________________________________________________________________ 

 

 

Exam Time Started:____________________________ Exam Time Finished:______________________ 

 

 

Proctor Signature: _____________________________________ Date: _____________________