Proctored Exam Application

University of Texas at Dallas

Student Success Center
Testing Center


800 W. Campbell Rd., MC24,
Richardson, TX 75080

Phone: 972-883-2460   |   Email: TestingCenter@utdallas.edu

  



Proctored Exam Application

* All fields are required.

















Contact Information


    example: xyz099000@utdallas.edu





   example: ACCT 6335.0W1 Exam 1



    example: mm/dd/yyyy


Note: Testing date and time is to be established and agreed upon by instructor, student, and proctor. If a different date than the one originally proposed by the student is agreed to, a second “Proctored Exam Application” must be submitted with the new agreed upon date.






    example: xyz099000@abc.edu



This form will automatically be sent to your proctor. Please make sure the proctor email address is accurate and is a professional email address.




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