SUNY New Paltz Proctor Agreement FormProctor Agreement • February 26th, 2020
Contract Type FiledFebruary 26th, 2020Student Information(to be completed by student) Name Student ID Email Telephone number Course Information(to be completed by student) Course name Course number Course sectionnumber Instructor name Semester ofinstruction Proctor Information Name Title Organization Email Telephone number Mailing address YES NO Is a fee assed to the student for proctoring the test? If yes, please enter amount.$ Proctor Acknowledgement and Agreement Signature Date Please read and sign your acknowledgement and agreement with each statement below. I certify that I have received, understood, and followed all instructions provided to me by the instructor. I certify that I will uphold standards of academic integrity. These standards include monitoring to ensure that the student: does not engage in any forms of cheating; does not access exam aids not permitted by the instructor; does not give or receive assistance during the exam; does not attempt to leave the exam a