Proctor Form

If you are using a proctor for taking the final exam instead of taking the exam on the main campus, Barstow computer lab or the Ft. Irwin Barstow College lab, you must submit the following form. First read the official Barstow Proctor Statement below to help you determine who is eligible for proctoring your exam: 

An approved "PROCTOR" MUST & WILL give the final examination in the course. No exceptions will be made to this Barstow Community College policy. The proctor will be required to check the student's picture identification prior to administering the final examination. It is the student's responsibility to ensure that their proctor is identified. The exam will be proctored at the Main Campus Library or the Fort Irwin Education Center, Barstow College site. If the student is not physically located near either location he/she may be proctored by an instructor or director at their local education center or a professional person approved by the instructor. The final examination will NOT be sent to anyone other than the approved proctor either by i.e., regular mail, e-mail, or fax.  The instructor decides who is appropriate.

Fill out the information below:

To enter the requested information, click the white boxes to have the insertion point appear where you will type your responses. After completing the questions, click the Submit button at the end of the proctor form.

Student Name:	(Always use your real first and last name in this box)
Student E-mail:	(Enter your exact email address)

Proctor Information 

Name (First and Last Name):

Title:

Name of Organization:

E-mail Address:

Mailing Address:

Phone Number:

  Yes, the person listed in this form has agreed to proctor my exam.

  No, the person listed in this form has not agreed to proctor my exam.

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