Proctoring Application Form

Note:

• Before completing this application please ensure that you have read the “Policy For Proctoring Exams” with Nimbus Christian Education. Which can be found on our website under Documents & Downloads. 

• Upon completion of this form you will receive an email notifying you of acceptance or rejection of your application. 

STUDENT INFORMATION

First Name*

Last Name*

Phone number

EXAM INFORMATION

Please note that it is possible for the date of the exam to be changed by the student or teacher if either of them feel it necessary. If this is the case please communicate this change at least 2 days before the exam date.

Name of Course*

Date*

Time*

PROCTOR INFORMATION

First Name*

Last Name*

Phone number*

Relationship to Student*

Job Title/Position/Qualifications

Employer

EXAM LOCATION

Name of Location*

Street Address*

City*

Province*

Postal Code*

Phone Number*