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Remote Proctoring Request Form

Remote online proctoring allows you to take the Accuplacer placement test from a computer equipped with a webcam, microphone and stable internet connection. Verify your computer’s technical specifications by going to https://www.examity.com/accuplacer-students. You must have a valid photo ID, such as a driver’s license.

Please complete the following (All fields are required)

* Required
*HACC Student ID:

*Full Name:

*Date of Birth (MM/DD/YY):
*HAWKMail Email:
*Street Address:
*City:
*State:
*Zip:

*Gender:

*How do you describe yourself:

*Approximately how far do you live from a HACC campus:
 

If you live within 50 miles of a campus, which of the following best describes the reason for your remote request:
 
If other, please describe:
 

*I plan to enroll in:
 

Contact Information
800-ABC-HACC, option 7
virtual@hacc.edu

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