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Distance Engineering Degree Programs (Online)
BS in Chemical, Civil, Electrical or Mechanical Engineering

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Proctor Approval/Address Request Form

*Required Fields

* Student Name:
* Company Name:
Preferred Mailing Address:
Street Address:
City: State: Zip Code:
E-Mail Address:
* Work Phone: Home Phone:
Course Number: Course Name:
Semester:

Yes, I give my permission to publish my phone and business phone numbers and e-mail address to other students in the Distance Engineering Program.
No, I don't give my permission to publish my phone and business phone numbers and e-mail address to other students in the Distance Engineering Program.
Distance Engineering course work must be completed by the end of the established semester. If a student requires an extension (extensions will only be granted if a student has kept up with homework and tests within four weeks of the end of the semester), the student Action Request Form must be submitted after talking with the instructor.

Proctor

Approved Distance Engineering Degree Program proctors:
public librarians, educational administrators, counselors, military education officers, clergy, human resource personnel, testing centers, or others as approved.

Note:
Please submit one form for each proctor. If you do not use the same proctor for all of your classes, submit one form for each of the proctors.

Examinations will be mailed to the proctor's work address.

Proctor Information
* Name:
* Title:
* Relationship to Student:
Work Mailing Address:
* Street Address:
* City: * State: * Zip Code:
* E-Mail Address:
* Daytime Phone: Fax:

 

 

Division of Continuing Education
University of North Dakota
Distance Engineering Degree Programs
Harrington Hall Room 100C
241 Centennial Stop 8215
Grand Forks, ND 58202-8215
Toll Free: 1.877.450.1842
Tel: 701.777.4333
E-Mail: distengr@mail.und.edu