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PROCTORING FORM: Disability Support Services (DSS)
Test-proctoring services are provided to facilitate appropriate academic accommodations for the
university’s students with disabilities when faculty are unable to provide accommodations.
A. Students
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Before scheduling test proctoring, students must have personally taken their Accommodations Data
Sheets to each instructor and determined that proctoring at DSS is the only option for receiving
specific accommodations.
Students are responsible for visiting Lynn Wood Hall, room 137 or calling 423.236.2574 at least
one week before the exam date to schedule proctoring. (Test proctoring can be scheduled for the
entire term at the beginning of that term.) When scheduling exams, students must indicate what, if
any, approved assistive technology they will use for their exam(s).
Students are responsible for providing the Proctoring Form to the instructor a minimum of one
week before each exam.
When an exam is to be proctored at a time that is different from the rest of the class, students must
first obtain written permission from the instructor. Without this written permission, the exam will
be proctored only during the scheduled class period.
Students are encouraged to remind the instructor of the need to provide the test before the actual
testing time.
Students must present themselves to begin the exam at the time indicated on the Proctoring Form.
B. Faculty:
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Test proctoring will be provided only if the instructor has received an Accommodation Data Sheet
from DSS and only if it is not possible for the department/school to provide approved
accommodations (e.g. if required assistive technology is not available elsewhere).
Even if accommodations have been recommended by the Accommodations Committee, they will
not be allowed if the instructor has indicated they are inappropriate for a particular exam and has
provided written support for not allowing them.
The exam is proctored at the same time the rest of the class takes the test unless—and only if—the
instructor has provided written permission (can be on the form) indicating the exact time and date
for alternate proctoring.
The instructor will provide exams to DSS, paper-clipped to this form, 1-2 days prior to the testing
date. Exams should never be sent through inter-mail. (In some cases, such as when electronic
copies of exams are necessary, exams can be sent to DSS by email with a copy of the form attached
or sent to DSS in time for proctoring.)
Once proctoring has begun, students will not be allowed to leave and return to finish the exam.
Exceptions can be made only if the instructor has given permission for the student to do so.
This form must be signed by the person receiving the completed exam.
Call (423) 236-2574 for questions about proctoring procedures.
C. DSS:
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DSS protects test security and logs the handling of tests, the times and conditions of test proctoring,
and the personnel involved in handling exams or assisting students.
Provides secure test proctoring.
Alerts professors/designees when tests are completed.
Revised: 08/16/13
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PROCTORING FORM: Disability Support Services (DSS)
The original of this form stays with the exam to be proctored.
To be completed by the student:
Student: __________________________Class: ___________________________________
Instructor: _________________________
Date & time the class will take the exam: _________________________________________
To be completed by the instructor:
Date & time to proctor, if different from class schedule:_________________________________________
I, the undersigned instructor, give my permission to the following:
1. All students taking this exam are allowed to (e.g. use a calculator, dictionary, notes) ________________
_______________________________________________________________________________________
2. In addition, the student named above is allowed: Approved accommodations ____ as well as ________
_______________________________________________________________________________________
3. For this particular test, the following is not allowed ( e.g. Spell Check): __________________________
Completed test may be accepted by Instructor or by __________________ or by __________________
_______________________________________________ _________________________
Instructor’s signature
Date of signature
Handling of Exam:
Exam received at __________________ on ___________________ by ____________________________
(time)
(date)
(staff signature)
Exam proctored by _________________________ from ___________ to___________ on ____________
(staff signature)
(start time)
(end time)
(date)
Additional information (assistive technology, scribe, reader, etc.): ______________________________
______________________________________________________________________________________
Completed exam received at _______________ on _______________ by _________________________
(time)
(date)
(instructor or designee)
Revised:08/16/13