CSUSB Undergraduate Studies: Testing & Tutoring UH-387
TEST ADMINISTRATION INSTRUCTIONS
For reasons related to test security and confidentiality, tests should not be submitted by intercampus mail nor
should they be sent by mail. Thank you for your cooperation!
PLEASE PRINT ALL INFORMATION
Student: __________________________________________
last name
Student I.D. #: _______________________
first
Professor: _______________________________ Dept. mail box location: __________ Ext. #: _________
last name
Course:
first
Dept. _________________________________________________ Class number: ___________
Time limit:
____ hours + ____ minutes
Date by which test must be taken: _______________________
NOTE: Tests not taken by the end of the quarter will be returned to the professor.
Please check one:
make-up exam /
challenge exam /
comp exam /
other (please specify) ____________
Items student will need for testing (student must provide):
scantron (Please select type needed.):
882E (green)
blue book (student must provide)
nothing
F-288 (red)
3042 (blue)
Indicate all items that the student is allowed to use during testing:
nothing
calculator
notes
scratch paper
book
dictionary
other (specify): _________________________________________________________________
Special instructions: ______________________________________________________________________
The Testing Room is monitored via camera, any suspicion of cheating will be reported.
I have read and agree to abide by all testing policies: __________________________________________
student signature (at time of testing)
OFFICE USE ONLY
Time limit: ___ hrs. + _____ mins.
time began: ___________________
time to end: ___________________
date: _________________________
proctor: ______________________
time returned: ________________
Proctor notes (optional):
__________________________________________________________________
__________________________________________________________________
Office use: file name: Testing Cover Sheet
TnT 12/9/15