Request for Exam

Many of the personal development courses require proctored exams. Exam information will be noted within your Blackboard course. If proctored exams are required for your course, you'll need to fill out a Request for Exam form based on the type of proctor you’re using.

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Request for exam using an in-person proctor

This form is for exam requests using an in-person Proctor. 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:*

Your Order Number can be found by clicking on the ‘My Grades’ link on the left in your blackboard course.

Current Street Address:*

Current City, State, and Zip*

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:*

Approved proctors are the following:

High school principal, guidance counselor, or teacher-not related to student or preceptor
University or college faculty not in a culinary, nutrition or dietetics related field - not related to student or preceptor
Testing services for an accredited institution, e.g. a college or technical college
Adult learning centers
Facility's nurse education director
Librarian
Others (individual must be approved by the University of North Dakota)

DIETARY MANAGER TRAINING PROGRAM STUDENTS: Your proctor MAY NOT be your R.D. Preceptor, a CDM, your administrator, a registered dietitian or a relative. Your preceptor OR administrator is NOT allowed to see your exam before or after you have taken it.

Proctor First and Last Name:*

Proctor's Title:*

Proctor's School/Business E-mail:*

Proctor's School/Business Name:*

Proctor's School/Business Street Address*

Proctor's School/Business City, State, and Zip Code*

Proctor's School/Business Phone Number:*

Please allow enough time for first-time proctors to be verified. See our Proctor Policy.

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. Proctors will be contacted for verification. REMINDER: You will need to show a valid ID prior to taking your exam.

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:*

Your Order Number can be found by clicking on the ‘My Grades’ link on the left in your blackboard course.

Current Street Address:*

Current City:*

Current State:*

Current Zip Code:*