Proctor Agreement
Please print this page or download the PDF
file.
Instructions for the applicant
Please complete the information below. Then ask your
proctor to complete the rest of the form, and include the completed
form with your application
to write the SOUL certification examination.
Applicant's Name_______________________________________________
Mailing Address________________________________________________
_____________________________________________________________
_____________________________________________________________
Phone___________________E-mail________________________________
Instructions for the proctor
Please complete the following information, read and
sign the agreement, and return it to the applicant. If you have
any questions please e-mail us at info@organiclandcare.org
Name________________________________________________________
Occupation____________________________________________________
Employer_____________________________________________________
Mailing Address________________________________________________
_____________________________________________________________
_____________________________________________________________
Phone_______________Fax_____________E-mail____________________
Agreement:
I am a public or private school principal, or have
been directly appointed by a public or private school principal
to be his/her delegate to proctor this examination.
I am not a relative of the applicant, nor do I reside
at the same address as the applicant.
I agree to serve as an examination proctor for the
above applicant to the SOUL certification exam. The examination
has been scheduled for:
Date and time__________________________________________________
Location______________________________________________________
_____________________________________________________________
I agree to:
- Treat examination materials as confidential and keep
them secure at all times
|
- Make no copies of the examination, nor allow others
to do so
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- Confirm the applicant’s identify through picture
ID immediately prior to administering the examination
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- Remain within supervisory distance of the applicant
throughout the examination
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- Administer the exam within the allowable time
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- Ensure that the applicant does not confer with others,
nor refers to reference materials of any kind during the
examination
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- Complete the test submission form which is part of the
examination package
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- Mail the completed examination, test submission form
and all other documentation related to the examination
to the address provided in the examination package
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- Return all documentation within 1 day of completion
of the examination
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- Return all documentation within 3 weeks of receipt if
the examination has not been written.
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Signed_______________________________________________________
Name________________________________________________________
Date_________________________________________________________
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