External Exam Proctoring Request
This form is for students and/or faculty to request a proctoring appointment for a course from an external (not Binghamton University) institution. All external examinations are subject to a $25 fee per exam.

If this is a request for a Binghamton course, please use the University Testing Center Reservation Form on our website at: www.binghamton.edu/clt/utc

Questions may be directed to UTC@binghamton.edu

Course Name and Number *
e.g. "MTH 220", "BIOL 102"
Your answer
Instructor's Name *
Your answer
Instructor's Email *
Your answer
Course Institution *
If Binghamton University, please complete the University Testing Center Reservation Form on our website at: www.binghamton.edu/clt/utc
Your answer
How are you connected to the course listed above? *
Next
Never submit passwords through Google Forms.
This form was created inside of Binghamton University. Report Abuse - Terms of Service