APC Instructor Participation Form
If you are teaching an online course (including hybrid courses) and need to have your exams proctored in person, please fill out the following Instructor Participation Form.

**The exam dates provided with this form will be used to map out the entire semester. Please note that we are unable to adjust exam dates after the dates have been confirmed and the semester has started** 

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Instructor Name *
Instructor Email Address *
Instructor Phone Number *
Term *
Required
Class Name *
Section Number(s) (separate by commas)  *
Exam Modality  *
Required
Exam Windows/Time Limits
Please note that all exam windows must be a minimum of 3 business days. Refer to the credit Academic Calendar for campus closures.

https://miracosta.edu/academics/_docs/CAL2324.pdf

Important note on exam time limits: 4 units = 2 hours / 5 units 2.5 hours
Exam 1 Start Date
MM
/
DD
/
YYYY
Exam 1 End Date
MM
/
DD
/
YYYY
Exam 1 Time Limit
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