National American University
Request Information

Exam Proctor Request Form

proctor form
All students taking an online course through NAU Distance Learning are responsible for selecting a qualified proctor (whether campus or individual). NAU is not responsible for anyone who does not select a proctor and consequently misses any proctored exams administered in their courses.

Make sure that you use the TAB key to advance. If you click on the enter key you will actually submit your form before you are ready and will have to start over.

National American University Campuses:

Albuquerque Campus, Albuquerque, NM (505-348-3700)
Austin Campus, Austin, TX (512-651-4700)
Bloomington Campus, Bloomington, MN (952-356-3600)
Brooklyn Center Campus, Brooklyn Center, MN (763-852-7500)
Colorado Springs Campus, Colorado Springs, CO (719-590-8300)
Denver Campus, Denver, CO (303-876-7100)
*Distance Learning (Online) Campus, Rapid City, SD (605-394-4841)
Ellsworth AFB Extension, Ellsworth AFB, SD (605-718-6550)
Independence Campus, Independence, MO (816-412-7700)
Overland Park Campus, Overland Park, KS (913-981-8700)
*Rapid City Campus, Rapid City, SD (605-394-3750)
Rio Rancho Campus, Rio Rancho, NM (505-348-3750)
Roseville Campus, Roseville, MN (651-855-6300)
Sioux Falls Campus, Sioux Falls, SD (605-336-4600)
Watertown Education Center, Watertown, SD (605-886-3450)
Wichita Education Center, Wichita, KS (316-681-3050)
Zona Rosa Campus, Kansas City, MO (816-412-5500)

*The Distance Learning (Online) Campus offices are no longer located at the Rapid City Campus but are located in Rapid City at 5301 South Highway 16, Suite 200.

Thank you for carefully reading all of the following important information before completing the Proctor Request Form found below and submitting it.

As a distance learning student, you will take some of your exams by yourself working on the computer; and you will take some of them in the presence of a qualified person who gives you a hardcopy exam or uses a password to open an online exam on an internet accessible computer. You are responsible for finding this qualified person to become your proctor. You will take all of your distance learning proctored exams in the presence of your proctor who will administer them.

PLEASE NOTE:

  1. Students registered with one of the NAU onground campuses must use that campus as their proctor.
  2. Students registered with the distance learning (online) campus must use any onground campus they are near as their proctor.
  3. Students registered with the distance learning (online) campus living near Rapid City, SD must use the distance learning campus as their proctor.
    • If you qualify for any of the above three categories, please fill out the Proctor Request Form below, and put the name of the campus, as listed at the top of this form, into the "Proctor's Full Name" box on the form.
  4. If situations 1-3 above DO NOT INCLUDE YOU, you will need to select an individual, qualified proctor who will test you wherever you are living and working. If you are selecting an individual proctor, you are responsible for ensuring that the proctor you choose meets all requirements.

It is required that any such individual proctor must:

  • Possess a bachelor's degree.
  • Be a neutral person (NOT a past, present, or future family member OR a friend).
  • Have access to a non-public fax machine. Fax machines open to the public such as Office Depot/Max or Kinko's are not to be used.
  • Have a valid e-mail address.
  • Have a computer with internet access available for a maximum of three hours per online proctored exam

Persons meeting the above requirements may include:

  • High school, college or university personnel.
  • Corporate training personnel.
  • Public library personnel.
  • Immediate supervisor.
  • Pastors and assistant pastors
  • Military education officer or military personnel with a higher rank than the student.
  • Testing center personnel

An individual, qualified proctor must agree to:

  • Act as an unbiased proctor.
  • Verify the identification of the student BEFORE giving an exam
  • Ensure the completed exam is solely the work of the individual student
  • Continuously monitor the student during the exam
  • Maintain exam confidentiality.
  • Immediately return completed cover letter and exam answer sheets to NAU; for each hardcopy exam the student takes - (1) FAX each exam's cover letter and answer sheets as a SEPERATE FAX; and (2) MAIL all the hardcopies back in that exam's return envelope.

Prior to exam time, you are responsible to contact your proctor to:

  • Determine a date, time, and place to complete your proctored exam by setting up an appointment ahead of time. If your proctor is an NAU campus please locate the phone number to each campus found on the first page of this form and call the campus at which you are testing.
  • Be sure your Proctor received the appropriate hardcopy exam for written exams or online proctored exam instruction sheet for proctored exams taken on the computer.

In order for timely delivery of your exams to your proctor (campus or individual), you must ensure that the following contact information you are providing for yourself and your proctor is complete and accurate.

Student Information:

ANY INACCURATE OR INCOMPLETE INFORMATION (Student Information section and or Proctor Information section) WILL DELAY OR STOP THE VERIFICATION PROCESS COMPLETELY!

Is this the first time you are submitting any proctor form?
Yes
No, I am changing my proctor completely
No, I need to update my current proctor's information

If you answered "No" above, for which term do you need this to go into effect? 

Student's Full Name (First and Last Name):


Your NAU Student ID Number:


Daytime Phone # with area code:


Complete Mailing Address (Include: City, State, Zip):


E-mail Address:
 

Proctor Information:

Proctor's Full Name (First and Last Name) or Campus Name:

If your proctor is an NAU campus, please list the NAME of the campus (a complete list of all of our NAU campuses can be found at the top of this form) and stop here.  Do Not list the name of any person from an NAU Campus as your proctor - only the name of the campus is needed.   Several pre-qualified NAU personnel at each campus are available, and it is up to each campus at the time of testing to designate an appropriate proctor.

If your proctor is an individual, fill out ALL of the remaining boxes below:

Position/Title:


Complete Mailing Address (Include: City, State, Zip):


Daytime Phone # with area code:


Fax # with area code:


E-mail Address:

If you have any questions before submitting your form, please call 1-800-770-2959 ext. 4841 or ext. 4840, or send an e-mail to Natasha at nasplund@national.edu.

Once this completed proctor form is received, any prospective individual proctors will be contacted to confirm their qualifications. AGAIN, if this form is incomplete or inaccurate in any way the process of verifying your proctor WILL be delayed or stopped completely.

Please Note: Some proctors require a small fee to proctor exams. The student is responsible for payment of proctor fees, i.e. to a library or testing center.

If you should need to change your proctor or update your proctor's contact information, you may do so by submitting a New Proctor Request Form.  Fill out the above form and resubmit it.

TWO IMPORTANT POINTS:

  1. Please print a copy of this form for your records.  Use the information to contact your proctor:
    1. To ensure your proctor received your exam;
    2. To schedule your appointment.
  2. Before submitting this form, please be sure you have filled out both the "student information" and the "proctor information" above.

 

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www.ncahlc.org | 312-263-0456 | ©2008 National American University | Updated on April 15, 2008
October 22, 2007