Carson City Library Test Proctoring Request Form
Proctoring requests must be submitted at least 1 week in advance. Appointments are based on staff availability, we will not be able to accommodate all requests.

Equipment and materials will not be provided.
Library staff are not responsible for test submission.
Do NOT use this form for MT-1 proctoring requests.

Email address *
Contact Information
Name (First and Last) *
Library Card # *
Phone Number *
Test Information
Testing Institution Name *
Testing institution contact information
Name of Test *
Test duration *
Test Format *
Proctoring qualifications required (special certifications etc)
Special testing instructions (such as mailing in confirmations, notarization, etc, special logins, etc)
Special testing instructions upload (attach testing instruction document if available)
Other Information
Do you have all equipment or materials needed to complete this test? *
Please provide 1 - 3 dates and times during library open hours, ending no later than 1/2 hr before closing. (Please see http://www.carsoncitylibrary.org for open hours) *
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