Please print out this form before each exam. Also prepare a stamped envelope to the address shown to the right, and give both to your proctor after signing below.

I _______________________________________ (student's name) will take this exam in good faith. I will not accept assistance from others to formulate the solutions to this exam. Nor will I provide such assistance to others or condone such assistance to be provided by anyone to anyone.

In the absence of instructions to the contrary on the exam itself:

• The exam must be taken during the regular class time. Normally, this time is shown on the exam, and covers a 50 minute period.
• A calculator may be used.
• Books and/or lecture notes may not be used.
• Assistance to the student by any person during the exam period is not allowed.
• The student may not take the original test or copies of the questions or answers out of the examination room.

Please keep a copy of the answers in case the mail gets lost. If there is a problem (example: the instructor said in class that the exam is open book, but failed to note so on the exam) follow the student's guidelines and note the discrepancy in the comment area below.

I _______________________________________ (proctor's name) have proctored this exam, for the course __________________________, taken by _________________________________________ (student's name) on the date below and verify that the test was conducted according to the instructions of this form and those provided by the instructor. After the test, I will mail the exam and this form directly to the address above.