Invigilator Request Form - EngTech

Your Name:

Your Email:

Exam Type:

Mid Term

Final Exam

Extra Class/Test

Other…

Associate Dean of the Course:

Course Code: (i.e. CHEM CH116)

Course Name: (i.e. Chemistry)

Exam Date: (please choose from the drop-down options)

Exam Start Time: (i.e. 1:30 PM)

Exam End Time: (i.e. 3:30 PM)

Number of Students:

Campus:

Room Number:

Number of Invigilators Requested: (see chart below)

Invigilator Special Requests:

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