Site Administrator/Proctor Testing Agreement If you select Site Administrator below, this means that you: are our single point of contact confirm that you are not an instructor oversee test administrations can proctor exams or must ensure all proctor(s) have completed this form will only share login information with proctors that have completed this form will be responsible for distributing results/certificates If you select Proctor below, this means that you: assist the Site Administrator with proctoring exams understand all communications will only be with the Site Administrator understand the CTTC will not share login information with you If an extenuating circumstance happens where the Site Administrator cannot perform the duties outlined above, you must contact our office immediately to discuss a resolution. Question Title * 1. Designation: Site Administrator Proctor Question Title * 2. 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 * 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 electronically sign by typing your name below to signify that you have read and agreed to all statements in this agreement. Done