Test Proctoring Application

Student Name:

Student Address:

Phone Number:

Email:

Library Card Number:

Name of Educational Institution:

School Contact Email:

Laptop Required?
YesNo

Preferred Date & Time of Exam:

Exam Type:
Paper ExamOnline ExamOther

Prior to filling out this form, I have carefully read the Exam Proctoring Policy and have verified with my education institution that all of the testing requirements can be met by the Oak Creek Public Library as set forth in the Exam Proctoring Policy.
YesNo

[recaptcha]