Marksville Proctor Request Form

Please use Firefox, Chrome, or Safari; this form doesn’t work properly in Internet Explorer.

Proctor Hours: Monday through Thursday 8 AM to 4:30 PM Friday 8:00am to 11:00am.

It is the student’s responsibility to send the proctoring information and confirmation to the Instructor.

Every field must be completed in order to send this form.

    First & Last Name:

    NSU Student (Yes or No):

    Phone Number:

    Email Address:

    Test Date Requested (ex. Jan 01 1884):

    Time Requested (8:00 a.m., 8:30 a.m., 9:00 a.m, 9:30 a.m., 10:00 a.m., 10:30 a.m., 11:00 a.m.,1:00 p.m., 1:30 p.m., 2:00 p.m., 2:30 p.m., 3:00 p.m., 3:30 p.m.) :

    Length of Time Required for Test (30 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours) :

    Course Number (Ex: Acct 2000):

    Professor's Name: