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:


Proctored Exam Application

* All fields are required.

Contact Information


   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.


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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