Building Proctor Form

Building Name

Contact Type

Building Proctor

Backup Proctor

Name (first, middle, last)

Identikey

Start date

Month

Day

Year

Email address

Office phone number

Office room number

How would you like to be notified in the case of an after-hours emergency

Phone call

After hours contact phone number

Will you be the key liasion?

yes

FM offers a 1 hour in-person or Zoom video training session offered at your convenience. Please indicate a date and time that works for you and we will contact you to confirm.

If you are the building proctor, who is your backup (name/phone)?

If you are the backup proctor, who is the primary building proctor (name/phone)?

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Building Proctor Form