Proctor Acknowledgement

Please fill out this form to be permitted to proctor. You will be expected to know and understand the requirements of the position; please do not hesitate to ask the Coordinating TA questions, should they arise. This form must be renewed semesterly.

Questions?

Proctor Attendance

Date *

Profesor *

How many proctors were there?

The video needs to be uploaded: *

Yes

By selecting "yes", I as the professor consent that the individualss listed attended my exam as proctors *

Yes

TA Information

TA 1: Name *

Time In *

Time Out *

By checking this box, I attest that the information above is true and correct *

<-- This is the equivalent of an electronic signature

TA 2 Information

TA 2 Name *

Time In *

Time Out *

By checking this box, I attest that the information above is true and correct *

<-- This is the equivalent of an electronic signature

Add Remove

TA 3 Information

TA 3 Name *

Time In *

Time Out *

By checking this box, I attest that the information above is true and correct

<-- This is the equivalent of an electronic signature

Add Remove

TA 4 Information

TA 4 Name *

Time In *

Time Out *

By checking this box, I attest that the information above is true and correct *

<-- This is the equivalent of an electronic signature

Add Remove

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