Exam Proctor Application Exam Proctor Application Exam Proctor Application Thank you for applying as a potential Proctor for EnergySmart Institute Exams. Please complete the following required information to be considered for approval. Testing Center Contact Information: Name of Proctor * Company/Institution Name * Email Address * Daytime Contact Number * Testing Center Address: Street Address * City * State * Zip Code * Do you currently proctor exams for other programs? * Yes No List any programs for which you provide proctoring services and/or a description of your test proctoring experience. * Capacity Requirements: Testing Center must provide the following: A computer with Internet high speed access (cannot use dial up) A computer with a Windows operating system Internet Explorer, Chrome, Firefox or Edge browser (Chrome or Firefox is currently required for simulation exams.) Proctor must agree to: Check photo ID of student Help student log on to exam site Provide student with Username and Password to access exam (will be sent to proctor by EnergySmart Institute) Visually monitor student during the entire exam (most exams are two hours long) to verify that student is not assisted by anyone, does not make or receive any phone calls, does not access email or text messaging during the exam, and does not leave the examination area until the exam is completed and the computer is turned off. Proctor: Is not related to the student. Will not receive any direct financial gain from the outcome of the testing. Does not have hiring or firing responsibility for the student. Name of Student: Do you have the capacity to meet the provisions listed above? * Yes No Name of person completing this form: * Title: Submit If you are human, leave this field blank.