Testing Service Request Form for

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Testing Service Request Form for
Distance Education Courses
The DE Office and the COS Testing Center (TTC) collaborate to provide testing services for
DE courses taught by adjunct professors and faculty who are remotely located. TTC is open
approximately 50 hours per week including some hours on Saturday and Sunday. Faculty
members create tests in Blackboard and make tests available to students using the Respondus
Lockdown Browser. Students have the flexibility of taking tests within a specified window of
time as determined by the faculty and TTC scheduler.
Adjunct and remotely located faculty interested in using TTC should complete and submit this
form to distance@gmu.edu at least three weeks before the start of the semester. Approval is
contingent upon the capacity and availability of TTC. Faculty may need to make slight changes
to their proposed schedules to avoid conflicts.
Important! Prior approval to use the center is required before sending students to the COS
testing center. Please provide your course roster at least one week prior to the first exam.
Today’s Date:
Instructor Information
First Name:
Last Name:
Department:
Campus Address:
Phone:
Alternate phone:
Email:
Faculty Status
Adjunct
Remotely Located
Instructional Contact (if different from Instructor Above)
First Name:
Last Name:
Department:
Campus Address:
Phone:
Alternate phone:
Email:
Questions and concerns regarding this request should be addressed to:
Instructor
Instructional Contact
Course Information
Course Title:
Course Number and section number:
Semester:
Fall
Number of Exams during semester:
Number of Students taking exam:
(for example PHYS245-001)
Spring
Summer
Other
Test Dates
Note that test date(s) requested may need adjusting to accommodate testing already scheduled
for the center.
PLEASE ALERT YOUR STUDENTS: Students MUST allow sufficient to complete an exam and be
aware of the Testing Center’s closing time. If the Time Allowed is 2 hours they must arrive at the
testing center 2 hours before closing or they will not be allowed to start the exam.
Please fill in information for each test. Enter dates as: m/d/yyyy
Start Date End Date
Test Type
Time Allowed
Password*
First Test
Choose Exam Type
min.
Second Test
Choose Exam Type
min.
Third Test
Choose Exam Type
min.
Fourth Test
Choose Exam Type
min.
 If a single test has staggered start/end dates within one course (large courses), list each
section of students with a different start/end dates as a separate exam and supply
separate rosters.
 * Password to be entered for the students by testing center monitors to access the test if
applicable.
Please note that the testing center has an active firewall. If additional software is needed for
testing, special arrangements must be made at an additional cost to be set after discussion with
the computer managers of center.
Students may bring into TTC the following items:
Calculator (must be non-programmable, computer has an electronic calculator that may be
used too.)
Scratch Paper (supplied at center and collected by monitor)
Other, please indicate below
Additional Instructions:
Questions
Please contact Lindsey Lowenberg (llowenbe@gmu.edu).
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