UK Site Index

Independent Study Program

Home
Forms

Examination Application

When you have completed all lessons, fill out this examination application and mail it to the Independent Study office. You may also send in your request via e-mail by submitting the information below. To avoid delays in processing, please complete this form in its entirety.

In order to avoid delays in testing, please submit the request at least 14 days prior to your exam date. You will be notified when the exam has been mailed out. You must take your exam within 30 days or the proctor will send the exam back to the Independent Study office.

Students may come in to begin testing between the hours of 8:00 a.m and 2:00 p.m, Monday through Friday. A picture ID is required.

First Name Last Name Middle Initial

Address

City State Zip

Day Phone (including area code) E-mail Address

Enrollment Number

Preferred Exam Date (mm/dd/yy) and Time (00:00) AM PM

Exam Location

I would like to take the exam at UK's Independent Study Program

For Out-Of-State College Students and Military Personnel

In compliance with regulations governing the supervision of examinations to out-of-state and military personnel independent study students, I have arranged to write my final examination in this course under the supervision of the Testing and Counseling Center, Registrar's Office, Admissions Office or an Academic Dean's Office at a local college or university or the Educational Officer.

Proctor's Name Title

Institution

Address

City State Zip

Phone (including area code) Email Address

Text Only
Last updated: 10/14/11
University of Kentucky
An Equal Opportunity University
Site development: Site Lab