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Scheduling a Regents Online Exam

Before scheduling your exam please read the RODP student guidelines.

Please answer all questions and fill in all blanks.

 

Student Information:  1. Your Name                  (First, Middle, Last)    

Birth Date

Email

Phone (Include Area Code)

Instructor Information:

2. Instructor Name

 

Email

 

Phone (Include Area Code)

Course Information:

3. Course Name

 

Course Number

 

Your Home Institution

Semester:

Note:  It is the student's responsibility to make sure the exam is taken during the acceptable time period set forth by the Instructor.

1st Appointment:

Pick an Exam:

 

If other please specify

 

1st Choice:

Please Enter Arrival Time       (Allow enough time to complete your exam before the close of proctoring session)    

 

2nd Choice:  

Please Enter Arrival Time       (Allow enough time to complete your exam before the close of proctoring session)    

 

2nd Appointment:

Pick an Exam:

 

If other please specify

 

 

1st Choice:  

 

Please Enter Arrival Time       (Allow enough time to complete your exam before the close of proctoring session)    

 

2nd Choice:  

Please Enter Arrival Time       (Allow enough time to complete your exam before the close of proctoring session)    

Upon receipt of this form we will send an e-mail to your instructor requesting test materials.

Confirmation of your scheduled appointment will be sent to you by email. 

 

Testing Services  
Jones Student Center Room 130 Phone: 931.540.2821
1665 Hampshire Pike Alternate Phone: 931.540.2569
Columbia, TN 38401 Fax: 931.560.4113

E-mail: testingservices@columbiastate.edu

Web Address:  www.columbiastate.edu/testingservices
 
Columbia State Community College is a Tennessee Board of Regents Institution and is an affirmative action and equal opportunity employer committed to the education of a nonracially identifiable student body.