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Mid-term/Final Proctor Reservation Form - Lake Of The Ozarks
Note: All fields (except Comments) are required.
Personal/Course Information
First name:
Last name:
Student ID number:
Cougar e-mail address:
Example: jsdoe@cougars.ccis.edu
Daytime phone number:
Course prefix, number, and section:
Example: CISS 170 B
Instructor name:
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 (4
th
week of session)
Wednesday, 6/26/2013 at 2:00PM - 4:00PM
Thursday, 6/27/2013 at 11:30AM - 1:30PM
Friday, 6/28/2013 at 3:00PM - 5:00PM
Friday, 6/28/2013 at 6:00PM - 8:00PM
Friday, 6/28/2013 at 8:00PM - 10:00PM
Saturday, 6/29/2013 at 8:00AM - 10:00AM
Saturday, 6/29/2013 at 10:00AM - 12:00 Noon
Final (8
th
week of session)
Wednesday, 7/24/2013 at 2:00PM - 4:00PM
Thursday, 7/25/2013 at 11:30AM - 1:30PM
Friday, 7/26/2013 at 3:00PM - 5:00PM
Friday, 7/26/2013 at 6:00PM - 8:00PM
Friday, 7/26/2013 at 8:00PM - 10:00PM
Saturday, 7/27/2013 at 8:00AM - 10:00AM
Saturday, 7/27/2013 at 10:00AM - 12:00 Noon
Other Information
Is this a rescheduled reservation?
Yes
No
Comments:
Reset
