| Students will use this form to notify the Central Texas College Testing Office of the location and contact information for the student's chosen test proctor. CTC does not maintain a list of test proctors; it is up to the student to locate a suitable proctor. Military students should check with the education center, testing center, library, or learning centers. Non-military students can find a proctor at a local college, a library, a high school, or other suitable facility. |
| Central Campus students in the Killeen area do not need to fill out this form. |
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| Complete this information about yourself. Items in red are required. |
| Your First Name | Your Last Name | Email Address |
| Last 5 of SSN * | * Needed to verify student identity. Information is protected. | Phone Number with Area Code |
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Complete this information about your courses. Items in red are required.
If you are taking more than 4 courses, enter the rest of them in the comments box.
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| Course Name
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Delivery Format
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Instructor
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Start Date
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| Course Name
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Delivery Format
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Instructor
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Start Date
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| Course Name
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Delivery Format
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Instructor
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Start Date
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| Course Name
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Delivery Format
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Instructor
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Start Date
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Complete this information about the test site and proctor to be approved. Items in red are required.
For help finding a proctor, refer to Testing Requirements or send an email to test.request@ctcd.edu.
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Testing Site
(ex: Hays High School) | Site Street Address |
| City | State | Zip Code |
| Proctor First Name | Proctor Last Name | Position / Job Title / Rank |
| Proctor Phone with Area Code | Proctor Fax with Area Code | Bachelors Degree obtained from |
| Proctor Email * | * Personal email addresses such as yahoo, hotmail, or gmail cannot be used. |
Comments
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| All items in red are required. If the information is not provided, the Proctor will not be approved. |
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If you have questions or problems, please call 800-792-3348 ext. 1289, 1584, 1353, 1520, or 1254. |
