Co-Lin--Simpson County 
Proctored Testing Reservation Request
 

To schedule your proctored exam/tests:

  1. Complete the form below to make a reservation for your proctored test.

  2. After the form is completed, verify that all the information is correct.

  3. Print a copy of the form to keep as your admission ticket (This ticket--along with a Photo ID must be presented when you arrive at the testing center.)

  4. Click the submit button at the bottom of the form to e-mail it to the appropriate proctor. You will receive confirmation by email when your time has been officially scheduled.

 
    Student's Name
    Student ID Number   (9 digits)
    Please add leading zeros before ID#, for example,
    If your ID# is 12345, you will enter 000012345.
    Student's E-mail Address 
    Telephone Number
    Course Name and Course Code
    Test ID (Example: Midterm, Final)
    Location
    Name of Instructor
    from

Tests must be scheduled at least 2 working business days prior to the desired testing appointment.
If you cannot keep this appointment or will be more than 15 minutes late,
please call (601) 849-0119.
Using the available times listed in the chart below, select the appropriate
 Month, Date, Day of the Week, Year, and Time you want your test scheduled.

Monday & Tuesday

12:00 noon - 8:00 p.m.

Wednesday & Thursday

12:00 noon - 3:00p.m.

 

Friday
Closed

 

 Month

Date   Day of Week  
 Year     Time  

NOTE:  Only if the above time slot is not available will your alternative time listed below be used, and you will be notified.

Month Date Day of Week 
Year  Time    

           

Reminder

 

 

 

After the form is completed, verify that all the information is correct. Print a copy of the form to keep as your admission ticket (This ticket along with a Photo ID must be presented when you arrive at the testing center.) Click the submit button at the bottom of the form to e-mail it to the appropriate proctor.

Special Request: 

Click Here to Submit Your Request or to Reset this Form