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Central Virginia Community College
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Proctor Request - Central Virginia Community College

Proctor Request

Students who wish to take any test at a site other than the main campus of Central Virginia Community College (Lynchburg, VA) must complete a Proctor Request Form and submit it to the Testing Center at CVCC. The proctor must be a staff member at a testing center at a college or university. Proctors cannot be a family member.

The Testing Center must approve all proctors and reserves the right to reject requests or proctors for any reason. If approved, exams will be sent to the proctor. If denied, the Center will contact the student. If the proctor charges a fee or postage to return the test, payment is the student's responsibility.

Download Microsoft Word or Acrobat Reader version of this form.
Request Form   (Complete 1 form for each class)
Student Information
Full Name EmplID
Email Daytime Phone Nighttime Phone
City State Zip
Checking this box and submitting this form, constitutes your written signature.
Course Information
Course Section Instructor Semester
Reason for Request
Proctor Information
Full Name Title
Place of Employment Department
Email Office Phone FAX Number
City State Zip


Click one of the following links:

Contact the Testing Center:
Central Virginia
Community College

3506 Wards Road
Lynchburg VA 24502-2498

Phone: 434.832.7827

Located in Bedford Hall, Room 3205

Summer Testing Hours:
Mon-Thurs 9:00 AM -   9:00 PM
Fri 9:00 AM - 12:00 PM
Fall Testing Center Hours:
Mon-Thurs 9:00 AM - 9:00 PM
Fri 9:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM