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Request for Proctored Examination

-ALL FIELDS MUST BE COMPLETED-

First Name

Last Name

Student ID Number

E-mail

Telephone Number

Course Information

Course Name

Course Number (for example, OT 430 IS 00 03 or NT 430 OC 09 03 S1)

Which Exam (if your study guide requires more than one exam, please state which exam you are requesting)

Study Guide Date/Code/Version (See the top of page one of study guide for the date or version, or look at the very bottom of each study guide page for the code. The code should look something like AR200, or BR1NA-S)

Date of Seminar (if the course was not a seminar, type N/A)

Course Instructor (if it was an online course or regional seminar, put your professor’s name here. If the course was not a seminar, type N/A)


You may request your exam at the same time that you submit your last lesson for a course. You do not need to wait for your last lesson to be graded. The exam must be received back by Trinity within 30 days of when it was sent out.

Proctor Information

Each Proctored Examination is mailed to a proctor. Students may select any responsible adult (e.g., clergy, educator, administrator, doctor, lawyer, businessperson, or public official) to whom they are not related by either blood or marriage.

Proctor Name

Proctor Address

City

State

Zip Code

Country

Proctor Occupation

Proctor Phone Number

Proctor E-mail

Proctor Fax Number (optional)

I hereby verify that I have contacted my proctor

When all lessons have been submitted for a course, students may request the enrollment keys and materials for the next course. After successfully finishing a current Registration, students are required to re-register within sixty days of the date that they completed their course work to remain current. Students may send re-registration requests via postal mail, email, or fax to the Academic Office to request their next Registration.

After clicking the "Submit" button, please wait until the "Upload Successful" page loads to verify that your Proctored Summation Request has been sent.