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Mid-term/Final Proctor Reservation Form - Kansas City

Note: All fields (except Comments) are required.

Please select the day and time you wish you take your exam. Due to limited space on Saturday, we can only offer proctor services on a first-come, first-served basis. We strongly suggest that you make your proctor request as early in the session as possible.

Personal/Course Information

Example: jsdoe@cougars.ccis.edu

Example: CISS 170 B

First and last name
Test Date/Time
Note: You are only allowed to take one exam per time slot. You may only reserve one test slot at a time using this form. If you wish to sign up for a mid-term and a final, you must fill out two separate requests.
Mid-Term (4th week of session)
Final (8th week of session)






Other Information