EXAM PROCTORING GUIDELINES AND PROCEDURES
The Exam Proctoring Service is provided as a service to SHRP students and faculty. The goal is to assist faculty in their efforts to
provide testing accommodations for students with disabilities.
Please note: The Office of Student Affairs will only proctor quizzes and exams for students registered for Disability Services and
this service is only available during posted hours of operation.
TESTING LOCATION: Stanley Bergen Building, Suite#101
STUDENT RESPONSIBILITIES:
 Students are required to complete the student information section on the exam proctoring form and sign.
 Students must submit a separate exam proctoring form to the faculty of all courses requiring this service during the
beginning of the semester and discuss specific test proctoring needs and plans.
 All students requesting proctoring services must present the faculty member with a current accommodation letter from the
Office of Student Affairs
 All students must abide by the School of Health Related Professions Academic Integrity policy.
 Only approved instruments/materials are allowed in testing area. No coats, backpack, purses, cellular phones or other
electronic devices are allowed in the testing rooms. Student affairs is not responsible for personal items left with the
proctor.
 Students must be on time for the test. (Exam will not be administered if arrival time is 15 minutes after the instructor’s stated
start time. If student is late and within the 15-minute window, the late time will be deducted from the total time allowed for
the test.)
FACULTY RESPONSIBILITIES:
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Discuss with the student specific test proctoring/accommodation needs and plans.
Require that students requesting Exam Proctoring Services present an approved accommodation letter from the Office of
Student Affairs.
Complete the faculty information section on the exam proctoring form and sign (if scheduling more than one exam and
additional space is needed, please use additional paper and attach to the exam proctoring form)
Keep a copy of the exam proctoring form for students’ records
Give the student a copy of the exam proctoring form for date, time, accommodation, and location information
Submit the completed and approved exam proctoring form to the Disability Compliance Coordinator
Arrange delivery and pick up of all exams after test completion
Note: Copies of proctor forms will remain on file in the Office of Student Affairs.
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Please complete this form during the beginning of each semester
Deliver all exams to Student Affairs 3-5 days prior to the exam date
EXAM PROCTORING FORM
Office of Student Affairs
65 Bergen Street, Suite 101
PO Box 1709, Newark, NJ 07101-1709
Phone: 973-972-7939
Fax: 973-972-4369
Email: OSAA@umdnj.edu
Fall/ Spring Hours: Monday-Friday 9:00am-5:00pm
STUDENT INFORMATION
Student’s Name: ______________________________________ A#: ___________________
I agree to comply with all proctoring procedures for exams. I understand that failure to do so may result in losing the privilege of using Student
Affair’s exam proctoring services. I understand that the exam will not be administered if my arrival time is 15 minutes after the instructor’s stated
start time. However, if I am late and within the 15-minute window, I understand the amount of time I am late may be deducted from the total time
allowed for the test. I agree to abide by the School of Health Related Professions’ Academic Integrity Policy. I understand that any violation of the
Academic Integrity Policy will be reported to my instructor and program director.
Student Signature: ____________________________________________ Date: _____________________
FACULTY INFORMATION
Instructor’s Name: _______________________________________________
Course/Section _____________________ Phone #: _________________ Email: ______________________
Date Student will take exam: ___ ___/___ ___/___ ___ Time Student will Start Exam: _____________
Total time allowed for exam (including extended time): _________________
If there are multiple exams, please complete the chart below:
Date
Start Time
End Time
Please note: Instructors will receive an email confirming the availability for all dates listed above.
INITIAL all allowable instruments/materials:
___ None
___ Calculator
___ Computer
___ Formula/Tables
___ Open Book
___ Open Notes
___ Transfer to Scranton
___ Scratch Paper
___ Tape Recorder
Additional approved materials/Special Instructions: ______________________________________________
Exam Delivery Info: (check one)
____ Test will be hand delivered to Student Affairs SSB, Suite#101 3-5 days prior to the exam date
____ Test will be faxed (973-972-4369), mailed or hand-delivered 3-5 days prior to the exam date
Exam Return: (check one)
____ Instructor will pick up completed exam by the next business day, SSB Suite#101 (9:00 a.m. – 4:00 p.m., M-F)
____ Completed test returned via inter-office mail to the following location: _____________________________________
(Campus, building, office location, room #)
I understand that any student violating the Academic Integrity Policy will be reported to the instructor and Program Director
Instructor Signature: _____________________________________________ Date: _____________________
Student Affairs Staff Only:
Notes:
Date form received________
Staff Initials: ________