Proctor Request Form for Distance Learning Exams
Test Center @ Bloomfield College - Room 101 (computer exams) and 102 (paper exams)
37 Broad St. Bloomfield, NJ 07003
Phone:  973-748-9000 ext. 1239
Email:  test_center@bloomfield.edu

Please note our Test Center is currently open:
Tuesdays, Wednesdays, and Fridays from 1pm-6pm
Thursdays from 1pm-8pm  

Summer hours (June 3rd through August 9th):
Tuesdays, Wednesdays 12pm-6pm
Thursdays 12pm-8pm
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Email *
Name *
Phone
Does the exam require a computer? *
Which date would you like to take your exam? *
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Course/Test Name
Length of Test *
Due Date of Exam *
MM
/
DD
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YYYY
Outside Institution/Organization Name *
Institution/Organization Address
Contact Person at Institution/Organization *
Contact Person Email/Phone *
Anything else we should know?
A copy of your responses will be emailed to the address you provided.
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