Request for Exam

Before requesting your examination, you must select an approved testing site (a local educational institution like a public school or university branch campus or a library would be preferred) and arrange an appointment with an eligible individual to proctor the examination. Relatives, co-workers, and close friends cannot be proctors.

Schedule the exam far enough in advance to allow for receipt of all lessons preceding the exam and the mailing of the test itself, but keep in mind that all lessons/projects and exams preceding this exam should be turned into CDE prior to taking this examination.

Print the Letter of Information and give it to your proctor before completing the exam request below.

Directions for filling out this form: Please make sure to fill out ALL REQUIRED fields. Also make sure to fill in the validation code at the bottom of the form (the very last item) before submitting the form.

Note: You will need to have your browser settings set to enable you to view images.

Student Information:
First Name:
REQUIRED
MI:
Last Name:
REQUIRED
Mailing Address Part 1:
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Mailing Address Part 2:
City:
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State:
REQUIRED
Zip:
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Country:
Phone Number:
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Email address:
REQUIRED
Course Information:
Department:
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Course Number (Beginning with F):
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Section:
Course Title:
Number of Credits:
Which Exam?
REQUIRED
Proctor Information:
Proctor's First Name:
REQUIRED
Proctor's Last Name:
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Proctor's Title:
Proctor's School or Place of Business:
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Proctor's Mailing Address Part 1:
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Proctor's Mailing Address Part 2:
Proctor's City:
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Proctor's State:
REQUIRED

Zip:
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Proctor's Phone Number:
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Proctor's e-mail:
REQUIRED
Other:
Include any comments in the space provided:
Enter the text shown in the picture:
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