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    OSU Math Placement Exam Proctor Application

    This form is for those interested in becoming a certified proctor of the OSU Math Placement Exam.  Only professional/academic testing centers, school officials (principals, counselors, etc.), or those associated with academic testing activities should apply.  Students, parents, and private individuals should not submit this form as they will NOT be certified as a proctor.  Enter your Test Center or School information below and then click "Submit."

    When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.
    * Indicates required field
    Center/School Address (Include Number, Street Name, City, State, and Zip Code) *
    Mailing Address
    Center/School Address (Include Number, Street Name, City, State, and Zip Code) *
    Mailing Address
    Do You Accept Walk-Ins?
    Do you give permission to OSU to publicly list your center as a location to take the OSU Math Placement Exam? *
    By clicking the "We agree" button below, you and your staff agree to the following statements: *
    1. We understand that information about the OSU Math Placement Exam, examinees, and exam scores is confidential.  We understand that we are not allowed to share score information with anyone except the examinee.
    2. We understand that examinees taking the OSU Math Placement Exam at our center are not allowed to access any outside materials, calculators, electronic devices, or other websites, and we confirm our center has ways to restrict examinee access to such when we administer the OSU Math Placement Exam.
    3. We have read and agree to proctor the OSU Math Placement Exam following the "OSU Math Placement Exam Proctoring Directions."
    4. We understand that we must create and enter a proctoring password for any student who is attempting the OSU Math Placement Exam for the 2nd-5th time (first attempts do not require a password).  We understand that we must keep this password secure and are NEVER allowed to release it to a student or outside entity.  We understand that, if our password is released, we must immediately deactivate it and create a new secure password.
    5. We understand that after a student successfully completes the OSU Math Placement Exam at our center that we are required to certify the student's score by logging into this system.
    6. OSU and University Assessment and Testing (UAT) reserve the right to verify a test center/school and proctor's identity, to require additional proof of eligibility, or to require a student to select an alternate testing center.  We understand this agreement may be terminated at will by the proctor, UAT, or OSU by providing written (including electronic) notification to all parties.
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