College of the Redwoods, Online
Form C: Request for Proctoring of Exam
(rev. Nov. 12, 2015)
Instructor:
Student:
Course and Test Title:
Request Date:
Test to be administered in this timeframe:
Delivery Venue: (Instructor selects one of the two options below.)
1.  Hardcopy: The exam is attached.
2.  Computer-administered: Use proctor’s (not student’s) web-connected computer (details below).
Time to Allow:
Instructions to Proctor
1. If you have questions or experience problems during the exam, please call me at _____________.
2. Verify, with picture ID, that the person requesting testing is the student named above.
3. Hardcopy Exams – [Insert instructions here]
4. Computer-administered Exams – [Insert instructions here]; for example:
“Hand student a printed copy of the student test instructions (next page of this document); require him or
her to read and sign it. Do NOT proceed until student has read and signed the instructions.
o Seat the student at a web-connected computer, and ask student to log into Canvas
(https://redwoods.instructure.com).
o Once student is logged into Canvas and accessing the course, ask student to go into the
‘Quizzes’ area of Canvas and click on the link for [insert name of exam here]. The exam itself
is access code-protected, so student cannot proceed further until… (next step)
o The proctor must then enter the test’s access code (which is different than student’s username
or password) to allow student access to the exam. Do NOT provide the student (nor allow the
student to see) the access code. For this exam the access code is: [Insert access code here]
(this is case-sensitive)
5. Please occasionally check on the student to ensure compliance with the student instructions. Report any
suspicious activity to me, in writing, to the email address below.
6. Computer Exam: The student will finish and submit the exam when done. The computerized exam
requires no further proctor action, ALTHOUGH the student or proctor MUST log out of the testing
program (such as Canvas) when done (to protect the student’s privacy).
Hardcopy Exam: Please sign the exam and send it to the instructor by the instructor’s chosen method
(see 3. above), such as:  Physically mail, or scan and email, or FAX to [insert FAX number here]
and destroy after receiving a confirmation email from the instructor.
Thank you!
[Insert name and contact information here]
Form C: Request for Proctoring of Exam
Page 1 of 3
Instructions to Student
[Proctor – Please print this page and the roster on the following page; require student to read and sign]
Foreword: While the vast majority of students are extremely conscientious, honest, and
exhibit academic integrity, I have found it necessary to implement these requirements.
These steps protect all honest students from the harm done by the occasional student who
is not so honest… Thank you in advance.
While you are taking the exam:
o Aside from the exam itself (if taking a paper test), you may not use any printed or
hand-written material (such as books, notes/notebook, etc.).
o You may not use any personal electronic device (e.g. any type of computer [laptop,
tablet, etc.], data storage / memory card, calculator, phone, etc.) UNLESS
authorized by instructor in writing to proctor / testing center;
o For computer-based exams: On the proctor’s or testing center’s computer used for
the exam:
 You may only open and use the testing system (e.g. a web browser
tab/window opened to Canvas or other exam delivery program);
 You may only use the online testing system (e.g. Canvas) to take the exam:
you may not use it for any other purpose (such as viewing lecture documents,
old quizzes, discussion forums, lecture videos, etc.); and
 You may not use the computer during an exam to search the web in any way
or to access any other program, web site, device or document during testing.
 A browser program may be used by the testing center that blocks access to
everything on the computer and the web except the exam in progress.
The proctor is an agent of the instructor, authorized to observe you during testing just as
the instructor would. The proctor is required to report any suspicious activity to the
instructor.
Any variance from these requirements may be considered academic dishonesty, which is a
violation of the Student Conduct Code. In such cases where the instructor determines that
a student has demonstrated academic dishonesty, the student may receive a failing grade
for the assignment and may be reported to the Chief Student Services Officer or designee.
The Student Code of Conduct (AP 5500) is available on the CR website at
http://www.redwoods.edu/district/board/new/chapter5/documents/AP5500StudentConductCodeandDisciplinaryProceduresrev1.pdf.
By signing the roster of students allowed to take exam, you agree to and are bound by the
instructions and requirements above.
Form C: Request for Proctoring of Exam
Page 2 of 3
Roster of Students Allowed to Take Exam
NOTE: The Canvas LMS will close this timed exam automatically; the proctor does NOT have to end the exam.
However, the student (or proctor) MUST log out of Canvas at the end of the exam.
Student Name
Form C: Request for Proctoring of Exam
Student Signature
Page 3 of 3