Request for Remote Testing
Use this form to request academic testing at sites other than the Panola College testing centers in Carthage, Marshall, or Center. Here's what you should do BEFORE completing this form:

1. Ask your instructor if he/she allows testing outside PC testing centers.

2. If the answer is yes, contact the testing center where you want to test and ask if you can test there. Find out the name, email address, and phone number of the testing contact person. Also find out how to arrange for your appointment, and find out if you have to pay a testing fee.

3. Fill out this form and submit it.

4. Wait for a response from the eLearning Office--we arrange a testing agreement with the other college before you can test there.

We will notify you and your instructor when we have the agreement, and your instructor will set up your test.

What is your NAME?
Your answer
What is your EMAIL ADDRESS?
Your answer
What is the COURSE NUMBER and NAME of the course you are requesting testing for? (Example: EDUC 1301-Intro to Teaching)
Your answer
What is your instructor's NAME?
Your answer
What is the NAME and LOCATION of the college testing center where you want to test? (Example: Kilgore College-Longview campus)
Your answer
Have you contacted that testing center to find out if it's OK for you to test there? (If the answer is NO, please close this form and do that before you continue.)
What is the NAME of the testing contact person?
Your answer
What is the EMAIL ADDRESS of the testing contact person?
Your answer
What is the PHONE NUMBER of the testing contact person?
Your answer
WHEN are you planning to test?
Your answer
Questions or Comments?
Your answer
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