PLEASE READ BEFORE COMPLETING THIS FORM
Students: Complete all of your information in the student section on Page 2 of this form. Once you hit the submit button at the end of the form you will find a print option. Print out the form and bring it to your proctor for completion. Completed form must be received 2 weeks prior to the test date.
Proctors: Sign, date, and return the completed form to the Office of Online Learning
Completed form must be received by regular mail, in-person, or by fax 2 weeks prior to the test date. Please allow for normal mail delivery.
Mail: 3835 Green Pond Road, Bethlehem, PA 18020
Contact us: 610-332-6089 or Valarie Clymer, email@example.com