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Exam and Testing Services Appointment Request

Certified Exam Solutions provides structured exam administration, proctoring, and testing support services for students, professionals, and organizations.

All requests are reviewed prior to confirmation to ensure compliance with exam sponsor requirements and operational feasibility.

Please complete this form in full. Incomplete submissions may delay scheduling.

What service are you requesting?

What service are you requesting?
A
B
C
D
E
F
G
H

Candidate Information

Full legal name

Email Address

Phone Number

Are you the test taker?

If no, provide the full name of the test taker:

Exam Name

Exam Sponsoring Organization

Exam Type

Exam Type
A
B
C
D
E
F
G

Exam Format

Exam Format

Testing Platform (If applicable)

Scheduling Preferences

Scheduling Preferences

Service format:

Service format:
A
B
C
D

Testing Accommodations

Do you have testing accommodations?

Do you have testing accommodations?
A
B
C

If Yes, what accommodations apply?

If Yes, what accommodations apply?

Exam Logistics

Will materials be sent to proctor?

Will materials be sent to proctor?
A
B
C

What items are permitted for the exam (If applicable)?

Additional Testing Needs/Notes

Agreement

I understand and confirm that:

I understand and confirm that: