Test-Quiz-Exam Coversheet
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1Testing Services
#_______
TEST-QUIZ-EXAM COVERSHEET
TEST WILL NOT BE GIVEN TO AN ENTIRE CLASS FOR CAMPUS-BASED CLASSES.
Name of Faculty:
__________________________
Phone #:
_________________________
Campus/Room #:
__________________________
Faculty E-mail:
_________________________
Course Name/#:
__________________________
Copies of Test #:
_________________________
Test Name:
__________________________
Paper & Pencil:
☐
Testing Center
Please mark all that
Test Available at LGC
☐
Test Available at FAC(SP)
☐
Test Available at DTC(CU)
☐
(OR) Testing Center
Testing Center
Testing Center
apply:
TYPE OF COURSE: (Check one below)
☐
Campus-Based
☐
Hybrid
Distance Education
Other
☐
☐
Start Date On:
____________________________
Last Date To Take:
__________________________
Roster Attached
☐
Student Name(s)
☐
SPECIAL INSTRUCTIONS: (If nothing is checked below, NO aides will be allowed.)
No Materials
☐
Any of the following
Materials Allowed:
☐
Math formula sheet
☐
calculators:
Scratch Paper
Homework (handwritten)
☐
Power Point Slides
☐
☐
☐ Standard Calculator
☐
No Scratch Paper
☐
Homework (typed)
☐ Scientific Calculator
Write answer on test
1 Sheet of notes (front
3 X 5 index card (front only)
☐
☐
☐
only)
Scantron (Specify type):
3 X 5 index card (front and
☐ Graphing Calculator
☐
☐
1 Sheet of notes (front and
☐
back)
back)
Save used scratch paper
Own calculator
☐
Periodic Table
☐
Text Book
☐
☐
for instructor
Own pencils and pens
☐
Collect other materials.
☐
E-Book (Cannot be used
Dictionary (Specify):
☐
Book (Specify):
☐
(Specify):
with Respondus
Lockdown Browser.)
Respondus Lockdown
Respondus Lockdown
☐
Password:
☐
Other Materials Allowed
☐
☐
Browser is REQUIRED
Browser will interfere
(Specify):
with this test.
Additional Comments:
Note: Testing Services will supply Scantrons and scratch paper. Students may not use electronic devices that can access the
Internet.
Students will be advised to contact their instructor when computer, Blackboard, or other technical problems occur.
Testing Services will not accept homework from students.
Tests/exams proctored at Testing Services cannot be timed. The proctor can indicate on paper-based exams when the test was given to
students and when it was collected. Students must keep track of their time.
Students must show a valid photo ID as well as know their student ID number, faculty name, course, and test name when they
come to take a test/quiz/exam. If students do not have a valid photo ID, then they will not be allowed to test.
Faculty must bring a photo ID to pick up Completed Exams.
Proctor Use Only:
Date placed in Testing:
Initials of proctor accepting
test/quiz/exam:
Date/Time picked up by
Initial/signature picking up
Instructor:
materials:
Rev. August 2016
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