MonitorEDU Exam Request Form

MonitorEDU Exam Request Form

This form is designed to capture key exam-specific information. Standard proctoring procedures such as ID checks, room scans, and monitoring are already in place and do not need to be repeated here.
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Time (for urgent issues)*
Additional Contacts
Anybody else we may contact regarding this exam
Organization & Exam Info
School / Organization*
Course Name*
Exam Name*
Exam Start Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
Exam End Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
Timezone
Select your timezone*

Eastern Time (ET)Central Time (CT)Mountain Time (MT)Pacific Time (PT)Other
Exam Duration (minutes)*
Estimated number of students*
Exam Access & Setup
Exam Platform Access Instructions*
Are you using a lockdown browser?*

YesNo
What lockdown browser are you using?*

Respondus LockdownRespondus MonitorOther
Exam passwords are given verbally by proctors.

The best practice is to use a 10 character password with numbers and letters, special characters should NOT be used.
Exam code(s) / Passwords*
10 digit numeric passwords are most secure and recommended when possible. Please refrain from using 0's at the beginning of a password.
Allowed Materials
Is scratch paper allowed?*

YesNo
Scratch paper is allowed - how should it be handled?*

Must be ripped up on camera after the examUpload Work: Will be spot-checked and uploaded before disconnectingWill be spot-checked, then student can turn it in laterStudents can keep it (Do not destroy)Other
Is a calculator allowed?*

YesNo
A calculator is allowed - what kind is allowed?

Built into the examBasic calculatorGraphing calculatorOther
Calculator is allowed - click all that apply.*

Built into the examBasic calculatorGraphing calculatorOnline calculatorOther
List any additional materials and aids that are allowed*
Type N/A if none
Accommodations
Are there any accommodations MonitorEDU should be aware of?*
Final Notes
List any additional notes about the exam not covered above.*
Should be Empty:

MonitorEDU Exam Request Form

Organization & Exam Info

Exam Access & Setup

Allowed Materials

Accommodations

Final Notes