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Proctor Certification Form
Instructions
Thank you for agreeing to supervise a BYU Independent Study examination. Please take a few minutes to complete this certification form. After completing this process, you will be notified by Independent Study concerning your certification status within two business days. This certification will be valid for a year, at which point you will need to fill out a new form to remain a certified proctor with our office.

Step 1 of 6
This form may NOT be filled out by anyone other than the person applying to be certified as a proctor. Students MAY NOT fill out this form for their proctor. If this is done the form will become invalid and the proctor will immediately be rejected

I certify that I will be filling out this form for myself to become a certified proctor with BYU Independent Study and for no one else. I also certify that all information given will be my own, and I will not give any false information to the best of my knowledge.

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