DRC Exam Proctoring Form for Instructors DRC Exam Proctoring Form for Instructors Copy link This form is for Instructors whose student(s) will be taking their exam(s) at the DRC. Exams WILL NOT be administered without this form. Name(s) of student(s) taking the exam (please list all students in class with submitted LOAs) * RequiredIf a student requests to take an exam for this course at the DRC and their name is not listed above: * RequiredPlease administer the exam to the studentPlease contact professor first for approvalDo not administer the exam to the studentInstructor Name (If multiple instructors, please list all) * RequiredTeaching Assistant Name (if applicable)Course Name and Number (e.g. ACTG 210) * RequiredCourse CRNIf multiple sections of this course are offered, please provide course CRN.Instructor Phone Number * RequiredInstructor UIC Email Address * Required Preferred Method of Contact * RequiredPhoneEmailTestsYou may list multiple exam dates by clicking the + symbol to the right of the entry boxes, if you would like the same proctor form to be used all semester.Test NumberTest DateHow much time is the class given to complete the exam? QuizzesYou may list multiple quiz dates by clicking the + symbol to the right of the entry boxes, if you would like the same proctor form to be used all semester.Quiz NumberQuiz DateHow much time is the class given to complete this quiz? When can the student take the test/quiz? * Required Student must take test/quiz on the day and time as class Student may take test/quiz at any time on same day as class Student may take test on another day per written instructor approval. TIME of the in class exam/quiz: * RequiredInstructionsPlease select any materials required or allowed for the exam: Scantron Calculator Blank loose leaf/scratch paper Blue Book (not provided by DRC) Periodic Table Dictionary Computer Notes If a calculator is allowed, please choose which type(s) are allowed: * RequiredIf you do not require other students in the class to use a specific calculator, please choose "any calculator" below. Any calculator Simple, 4 function calculator Specify: If the rest of the class is required to use a specific type of calculator, please specify below: * RequiredAre there any course specific materials required or allowed for this exam? If yes, please specify. (i.e. model kits, formula sheets, reference texts, etc.)YesNoPlease specify what notes are allowed. (i.e. number of pages, one or two sided, note cards, written, typed, etc) * RequiredCollect all notes when student turns in exam/quiz?YesNoSpecify:How do you want the exam returned? * RequiredScannedPick UpElectronically Submitted (via Blackboard, Examsoft, etc)List the email address(es) below to send the completed exam back. * RequiredSpecify who will be allowed to pick up the exam. * RequiredThe individual will need to present ID and sign a form confirming receipt.Comments:Send ExamPlease email the exam to email@example.com at your earliest convenience or upload with this form. If one proctor form will be used for the entire semester, please skip this section and email exams directly to firstname.lastname@example.org prior to each exam or quiz with the exam/quiz number, as well as course name and number in the subject line. File Drop files here or Additional InformationPlease submit the form below. If there are any last minute changes to an exam, please call the DRC Testing Coordinators at (312) 413-4811 or email accesstesting@uic,.edu.