GIS examination request form

This form is for current GIS students only.

Before submitting this form, please make sure have done the following:

Submitted all preceding assignments
Provided notice 7–10 business days before the proposed exam date

Exams should be taken within one month after the last lesson was submitted.

If you have any questions, please contact the Guided Independent Study Office at 319-273-2123, 800-772-1746 or gis-program@uni.edu [1].

Course information

Course number: *

Course name: *

Instructor: *

Exam: *

Exam date: *

Student information

Name: *

Email:

Mailing address:

City:

State:

Zip:

Phone:

Please check if this is a new address.

Proctor information

You are responsible for making all examinations arrangements, paying any fees at the examination site and examination postage. Examinations must be completed under the direct supervision of an APPROVED proctor.

Proctors may be a school superintendent, school principal, testing center, college official or public library official.
Proctors may not be a person that employs, supervises or is a relative of the student.

If there is a question about whether you have identified an approved proctor, please contact the Guided Independent Study via email at gis-program@uni.edu [1] or by phone at 319-273-2123 or 800-772-1746.

I plan to complete my exam at the UNI Guided Independent Study Office. (Please call 319-273-2123 or 800-772-1746 to schedule your exam.)

Proctor name:

Proctor's title:

Proctor's Organization:

Proctor mailing address:

Proctor city:

Proctor state:

Proctor zip:

Proctor phone:

Proctor email:

Questions and comments

Please share any additional questions, comments and concerns.

Thank you for your request. Please contact us at 319-273-2123 or 800-772-1746 if you have any questions.