Brigham Young University-Idaho
Proctor Request Form
To avoid delays -
Provide all of the information listed below!
Please allow 2 full business days for us to contact the proctor.
Student - Full Name:
BYUI-Number:
Student Email:
Course Name & Number:
Class Section:
Test Name:
Instructor Name:
Proctor's Name:
Relationship to Proctor:
Proctor's Employment:
Proctor's Mailing Address:
Proctor's City/State/Zip:
Proctor's Telephone:
Proctor's Email:
Where will the test be Proctored: