Adult & Electronic Services » Request for Proctoring Services Form

Students can have written and electronic tests proctored at Lakewood Public Library Main Branch. This service is free.

How to begin

The student or testing institution must complete a form for each course requiring proctoring services at Lakewood Public Library. In addition to completing this form, be sure to read and comply with all proctoring requirements of your school, college, or university.

Proctoring is available only to patrons with a Lakewood Public Library card in good standing. If you do not have a Lakewood Public Library card, you will need to register for one prior to test day. For questions about registering for a card, please call the Technology Center at (216) 226-8275, ext. 127.

Please note that all requests must be filled out completely. Requests that are not filled out completely will not be processed. Again, a form must be submitted for each course requiring proctoring services. Questions? Contact us by phone (216) 226-8275 ext. 127 or by email at proctoring@lkwdpl.org.

Thank you.

Note: all fields required unless noted as optional.

Student Information

Your name: (first then last)

E-mail: (e.g. user@hostname.com)

Phone Number: (e.g. xxx-xxx-xxxx)

Do you have a Lakewood Public Library card? (If you do not have a card, you will need to sign up for a card - free to residents of Ohio.)

yes no

School Information

Name of College, School or University:

Mailing Address:

City:

State: Zip Code:

Testing Services Contact Name: (first then last)

Testing Services Phone: (e.g. xxx-xxx-xxxx)

Testing Services Fax: (e.g. xxx-xxx-xxxx, optional)

Testing Services Email: (e.g. user@hostname.com, optional)

Course Name:

Exam Name and Number(s)

Number of exams:

Exam Names/#s:

Session Information

Date that Session Ends: (e.g. January 20, 2011)

Special Instructions : (optional)

Please review your contact information to be sure it is correct.