PROCTOR REGISTRATION AGREEMENT

The test proctor is responsible for maintaining the security and integrity of the technician
certification testing events.

This agreement must be completed and signed prior to processing orders for certification
exams. You need only to complete this form once. Proctors shall become thoroughly familiar with and follow these policies and procedures of the certification program at all times.

  • As an exam Proctor, I will:












  • Please type your full name, which constitutes as an electronic signature in this document.

  • Date Format: MM slash DD slash YYYY








  • (Use a Social Security Number, Government ID Number, Military ID Number, etc.)