Academic Success

	HNU Home \| Contact HNU \| Campus Services \| Cushing Library

About HNU President's Office HNU at a Glance News The HNU Difference Mission History Campus Map Directions Strategic Plan 2012 Employment Academics Undergraduate Programs Degree Completion Programs for Adults Graduate Programs Affiliated Programs Academic Calendar University Catalog Registrar's Office and Student Resource Center Articulation Information Academic Affairs Office Cushing Library Faculty Admissions First Year Students Degree Completion Programs for Adults Graduate/Credential Students Transfer Students Nursing Students International Students New Initiative for College Access Early Admit Program Tuition and Fees Student Financial Assistance Athletics Intercollegiate Sports – HNU Hawks AD’s Corner Facilities Summer Camps Student Life Orientation Health and Wellness People Bookstore Dean's Office Safety Student Handbook Student Resource Center Student Success Center Commencement Resources For... Future Students Current Students Parents and Families Faculty and Staff Alumni Donors Community and Visitors Campus Alerts

Student Life

Exam Proctoring Request Form (DSS)
The Student Success Center coordinates Disability Support Services-related Exam Proctoring for HNU instructors. Exams are proctored by a Student Success Center staff member. Please note that the SSC staff member does not remain in the testing room with the student while the student is taking the test. We do, however, require that the student leave all belongs — except a pen/pencil (and any other materials specified by the instructor) — with an SSC staff member. We provide monitoring from the Student Success Center area. The Exam Proctoring Form must be submitted at least 48 business hours prior to the desired test date. All late or incomplete requests will not be accepted and the exam will not be administered. Instructors are expected to communicate and confirm with students both the test date and time before submitting an Exam Proctoring Request Form. Fields marked with an asterisk (*) are required.

Instructor Information
Instructor Name*

Email*
Contact Phone Number* (xxx-xxx-xxxx)

Student Information
Student Name*

Course Title
Course Title*

Exam Information
Exam Date (mm/dd/yyyy)* Exam Time Ex. 9:00am*

Materials Allowed
Calculator
Notes
Book
Other Materials

Exam Type

In what format will the test be provided? Paper (Instructor will drop off exam at Brennan 53) Student will arrive with exam Email (Instructor will send exam to examproctor@hnu.edu)

Method of Return: (Select one) Instructor will pick up exam from Student Success Center during business hours. Student Success Center will scan and email exam within 1 business day. A hard copy of the exam will be mailed to Instructor via campus mail Other

According to the Disability Support Services (DSS) Accommodations Letter provided to the Instructor, the Student should receive the following accommodations:

Extended Time Yes No

In order to allocate appropriate time for exam proctoring, please provide the following information:
In-class length of exam is minutes (ex. 30 minutes)

Extra time allocated to student per Accommodations Letter is (ex. Time and a half)

Total exam time is minutes (ex. 75 minutes)

Low Distraction Yes No

Use of a Laptop Yes No

Modified Test Format Yes No

For questions or assistance regarding any of the above, please contact the Coordinator of Disability Support Services at dss@hnu.edu

Please use this space for any additional comments or directions:

Exam Proctoring Request Form (DSS)

Instructor Information

Student Information

Course Title

Exam Information

According to the Disability Support Services (DSS) Accommodations Letter provided to the Instructor, the Student should receive the following accommodations:

Please use this space for any additional comments or directions: