Unformatted text preview: All of the information requested in the first section of this form must be provided . Section I: General Information (answers required from ALL students) : Course number and section letter: HIST 102 Date Form Submitted: June 2, 2009 Your Name: Thomas Marler Your Phone number: 573-289-7036 Closest Columbia College campus: Home Campus Drive time to campus: 5 min Do you intend to have your exam proctored at above campus? YES Section II: Answer ONLY IF proctor is NOT at a Columbia College site : Requested Proctor Name: Proctor Phone Number: Proctor email address: Functional Title of Proctor: Relationship of Proctor to you: Why can’t you use a Columbia College site? Section III: Essay Information Are you willing to allow the instructor to post any of your essays for the class to read as an exemplary essay? Yes_____x___ No_______ If so, do you prefer to have it posted anonymously, or with credit to you? Anonymously____x___ With credit________...
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- Spring '10