Student Name: Student Address: Phone Number: Email: Library Card Number: Name of Educational Institution: School Contact Email: Do you need a library laptop supplied if it is an online exam? 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
