student accessibility services exam/quiz proctor … accessibility services exam/quiz proctor sheet...
TRANSCRIPT
Student Accessibility Services Exam/Quiz Proctor Sheet
Professor/Instructor Please Fill Out Exam/Quiz Information
Student Name:
Course Name:
Subject:
Faculty Name:
Exam/Quiz Type: Multiple Choice: Essay: Math: Listening:
Phone/Email:
Date & time class takes exam/quiz :
Amount of time class receives for exam/quiz:
Did the student receive professor permission to take this exam/quiz on a different date/time thaƴ the class? Yes: No:
If yes, date(s)/time permitted:
S tudent May Use: Calculator Book(s) NotesScantron Color Preference:
I am aware of and understand the Kent State University administrative policy regarding student cheating and plagiarism (Policy Register 3342-307). I understand that I am NOT permitted to leave the testing room until I am finished with my exam/quiz. If I believe that I will need to use the restroom during my exam/quiz, it is my responsibility to let the SAS proctor know prior to the beginning my exam/quiz; and I understand that I will then need to complete the exam/quiz page by page, and will not be permitted to view or work on any previous pages when I return from being out of the testing room. I also understand Student Accessibility Services hours are Monday through Friday 8am-5pm and that there may be a change in SAS proctors during this exam/quiz and that my exam/quiz will be collected 15 minutes prior to SAS closing during the academic year and 30 minutes prior to SAS closing during final examinations.
Apt Date: _____________ M T W R F Week: ___________ Time: _______________
Student Signature: _________________________________________________________________ Date: _______________________________________
D ate Rcvd: _______ _____ Rcvd By: E D F O
Location: ____________________________
Room Alone Computer JAWS Braille Terp CCTV Enlarge: _______
Scribe Reader Proctor CD/TAPE DVD/VCR
Start Time: ________ Staff Initials: ________ End Time: ________ Staff Initials: ________ Total Minutes: _________ INCDT Report: N / Y
wŜǘdzNJƴŜŘ .ȅΥ t h C 9 b { hǘƘŜNJΥ ψψψψψψψψψψψψψψψ
CRN: Course & Section No.
Exam/Quiz Instructions:
Completed Exam(s): Pick up exam from SAS SAS delivers exam to Dept. Scan and e-mail
SAS Office Use Only
Other: _________________________
Delivery information:
Delivered by: ____________ Date: ________ Time: ________
Rcvd by (Signature): _____________________________________
Return Information:
(Print): _____________________________________
Delivered by: ____________ Date: ________ Time: ________Done by: ____________ Date: _________ Time: __________
Pickup (Signature): _______________________________________
(Print): _______________________________________
-
PC: Respondus: Other:
Amount of extended time permitted:
Total time for SAS student:
Student Cheating Policy & Exam/Quiz-Taking Expectations
min
min
min
+
__________ Staff Initial: __________ Proctor Sheet By: Professor SAS
University Library, Suite 100 ٠ P: 330-672-3391 ٠ F: 330-672-3763 ٠ E: [email protected]