Proctor Information Form


If you intend to take your tests at the VHCC learning lab, you do not need to fill out this form. 

If you will be taking your tests at a different testing center you will need to contact that testing center and obtain an email address so your instructor can send them a copy of testing procedures and verify that the testing situation is acceptable to all parties.


Proctoring is generally approved for testing centers and/or libraries of accredited institutions of higher education, and generally in situations where testing is under the control of faculty of such institutions.

Due to the variability of situations at thousands of primary and secondary schools and public libraries, proctoring is not ordinarily approved at those institutions.  Exceptions are sometimes made when the specific situation meets stringent conditions, but even in the case of exceptions the final exam must be taken in conjunction with an approved institution of higher education.


All proctor information must be submitted using this form. 

You should expect a reply to your email within 48 hours, informing you of the status of your request.  If you do not get a reply, you should repeat your email to the instructor.


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.

Access Code:
Confirm Access Code:

Your Name:

First Name
Last 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 message I will send your proctor assumes that you have contacted your proctor or testing center before submitting this form.  If you have not contacted your proctor they might not know who you are, which can lead to confusion.  It is important that we conduct the process in a way that doesn't create extra work or confusion for test proctors.

Please verify in the box below that you have contacted your proctor or testing center:

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. 

Once more, after submitting this form, remember to take the following two additional steps:



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Copyright © 2003 [OrganizationName]. All rights reserved.
Revised: 01/13/15