continuing education at the University of Utah
distance education

Distance Education —
Out-of-Area Students Exam Request Form

Local students will take all examinations at the University of Utah Testing Center located in room 498 of the Student Services Building (SSB - address: 201 S. 1460 E., SLC, UT - see map)

STUDENT INFORMATION:
First Name:
Last Name:
uNID # (if known):
Email:
Daytime Phone: ( ) -
Course Title:
Exam Type (i.e. Midterm, Final, Exam I, Exam II, etc)
PROCTOR INFORMATION:
Institution's Name:
Proctor's Name:
Proctor's Title:
Proctor's Email:
Mailing Address (street)
City:
State/Province:
Zip/Postal:
Proctor's Phone: ( ) -
©2008 Continuing Education | University of Utah
Question? Comment? Contact us or sign up for our E-Newsletter!
Continuing Education home page u of u home page