Test Proctor Request

If you experience difficulties submitting this form, please send your proctor request to, proctor@tcpl.org or call 607-272-4557 ext. 253. Please include the information noted below in your email to Tom. Thank you.

Student Name:

Student Contact Information

Email:

Phone:

Instructor Name:

School/institution/University Name Name:

Exam Date Request *

* Please list several possible dates.  The Library cannot guarantee that we will administer your exam on the date(s) that you’ve requested, but we will try to accommodate your request to the best of our ability.

Note: If you experience difficulties with this form, please call 607-272-4556 or email proctor@tcpl.org.

Page last modified Mar 7, 2014