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Mid-term/Final Proctor Reservation Form - Patrick Air Force Base

Note: All fields (except Comments) are required.

Hello! Please sign up for your midterm or final below. Midterms are administered during the fourth week and finals are administered during the eighth week.

IMPORTANT! If you are an online student, contact the Patrick Campus to apply for a badge to gain access to the Base during the 4th and 8th weeks of the term for exams.!!  Please apply 72 hours in advance for Base access.

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