Request for Proctoring Services Form - Pepperdine University 2026

1. Click ‘Get Form’ to open the Request for Proctoring Services Form in the editor.
2. Begin by filling out your personal information in the 'To be Completed by the DSO Student' section. Enter your name, Campus Wide ID Number, course name and number, exam date, and exam time.
3. Indicate the type of accommodation you are requesting by marking an 'x' next to your choice. Options include Extended-Time, Distraction-Reduced Site, Computer, or Other.
4. Acknowledge your responsibility regarding the completion of this form and scheduling with the Disability Services Office (DSO) by initialing and dating where indicated.
5. Save your completed form and email it as an attachment to your professor. Ensure that all necessary sections are filled out accurately.
6. The professor must complete their section of the form. They will provide their name, office details, and any specific test procedures required.
7. Both you and your professor should review any additional instructions before submitting the form to DSO at least seven days prior to the exam.

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