Request for Exam Using ProctorU

This form is for exam requests using ProctorU. Please do not complete this form until ALL lessons preceding the exam have been submitted.

Have you read our Proctor Policy?

Student Information
(all items are mandatory)

First and Last Name*

Email Address:*

Order Number:*

Current Street Address:*

Current City:*

Current State:*

Current Zip Code:*

Current Phone Number:*

Please select the exam you are applying for:*

Desired Exam Date & Time:
Please allow 3-4 business days for our office to process your exam request.
(all items are mandatory)
All lessons up to the exam must be received by our office before you request your exam.

Date:*

Time:*

All lessons, up to the exam being requested, must be received by our office before you request your exam.

Please read the Proctor Policy for more information concerning exams. REMINDER: You will need to show a valid ID prior to taking your exam.