Site Administrator/Proctor Testing Agreement Question Title * 1. Please enter the required contact information below: Site Administrator/Proctor Name * School Name/Organization * Address (for Invoicing) * Address 2 City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Site Administrator/Proctor Email Address * Site Administrator/Proctor Phone Number * Question Title * 2. Designation: Site Administrator Proctor As the Site Administrator/Proctor, I: Agree to verify with the instructor that students have completed coursework prior to testing. Understand to keep all test materials and access information in a secure, locked location. Agree to coordinate/conduct test administration within a controlled environment with oversight by approved proctors. Agree to retrieve/distribute results and certificates to all candidates in a confidential and secure manner. Understand that all materials used for certification testing are proprietary and confidential. Agree to maintain confidentiality of all testing materials including protecting all items from loss, unauthorized access, and reproduction. Understand that Instructors cannot be Site Administrators/Proctors or have access to any certification assessments. Question Title * 3. Please sign your name below to signify that you have read and agreed to all statements in this agreement. Done