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Testing Appointment Request Form

KPC-Kenai River Campus
Learning Center Testing Services (907) 262-0227
Brockel Building, Room 153

 

Please fill out the form below to request an appointment to take your proctored exam. All appointments requested will need to go through an approval process before the actual appointment is granted. 

You will receive notification via email, within 1 business day, stating whether your appointment has been approved or if further information is needed. DO NOT assume that you have an appointment UNTIL you have received a reply email with confirmation of the appointment.

 



* ALL students needing to take a proctored exam must schedule a testing appointment ahead of time. Due to limited space, we do not offer same day testing. 

* ALL students must present a valid, photo ID in order to test.

* Please read the KRC Learning Center Testing Policy before coming in for your testing appointment. 

* All items marked with a red asterisk are required.

 

Student Information

First and Last Name * 


(As it appears in the UA system) 

Email * 


(Enter your preferred email. This will be used to confirm or deny your appointment.) 

Phone * 


(Include area code and use dashes, i.e. 907-555-1234) 

Course and Exam Information

Campus * 


(Indicate the campus the course originates from, i.e. UAF, UAA, WGU, etc.) 
Non-UA System University
(If the campus is outside the state of Alaska, please select 'YES'. A $30 proctor fee will be charged on test day. Please call or email to verify receipt of exam materials before your appointment.)
 
Type of Course * 
 
(For KPC-KRC courses, please select the correct option. For all other campuses, you must select E-Learning.) 

Course Name and Number * 


(Use the formant: ECON202, PRT101, MATH105, etc.) 

CRN Number


(Please enter the 5-digit course reference number. This can help us to verify that we have the correct exam for you.) 

Instructor * 


(Please include both first and last name) 

Exam Name or Number * 


(i.e.: Exam 1, Chapter 2, Midterm, etc.) 

Appointment Date/Time Desired: testing schedule Click for Proctored Testing Schedule

Appointment Date * 

 [None] Select a Date Delete the Date
(All requests must be made in advance. Same-day appointment requests will be denied.) 
Appointment Time * 
(Please indicate the start time in 1/2 hour increments. All testing must be finished by the posted closing time.) 
Rescheduling Appointment
(If you are rescheduling an appointment, please select 'YES'.) 
Please prove you're a human Enter a number between 1 and 49:
 

  You will receive notification via email, within 1 business day, stating whether your appointment has been approved or if further information is needed. DO NOT assume that you have an appointment UNTIL you have received a reply email with confirmation of the appointment.
   
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