Language Learning Center
California State University San Marcos
Tel: 760.750.8058
Fax: 760.750.3313
333 S. Twin Oaks Valley Road
llc@csusm.edu
San Marcos, CA 92096-0001
www.csusm.edu/llc
LLC Test Proctoring Form
INSTRUCTOR: At least 1 day beforehand, send form, test & materials to KELL1107 or llc@csusm.edu.
Student’s Name:
Instructor’s Name:
Course Title:
First date student may access test:
Date after which test no longer accessible:
Time Allowed:
or
No limit
Student MAY use ONLY what is indicated below:
Scratch Paper (to be handed in with test; many students like to use this)
Headphones (to listen to the audio file you have emailed us)
Microphone (to record voice, which we will email you)
Class Notes
Student Edition of Textbook
Lab Manual/Workbook
Computer (Note: If checked, gives student FULL access to Internet and all programs.)
If listening or speaking required, please email to llc@csum.edu & describe:
Any other directions:
Completed test & form:
I will pick up.
Please email to me and shred the original test.
STUDENT: Read the above and below, and sign BEFORE beginning the test.
I have read and understand the above. If there is a time limit, I understand it is my responsibility to
turn the test in on time, along with any materials used, to the Director/Exam Coordinator.
Student’s Signature:
Date:
EXAM COORDINATOR: Complete the below.
Date:
Time In:
Time Out:
Initials:
The California State University
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