DDE Hardcopy Exam Request Form

Student First Name:
Student Last Name:
EOU Student ID Number:
Your EOU Student ID Number is NOT your Social Security Number and should
begin with a 910- prefix.
You can check on Webster for your Student ID Number
Current EOU E-mail:
Current Telephone:

Graded exams are returned to you at the address listed in your Personal Information section in Webster. Please make sure it is current.

** Most, but not all, of our Hard Copy Exams require a proctor. Please refer to the syllabus for your course to determine if a proctor is required. If none is required, please enter "Non-Proctored" in the Proctor First Name and Proctor Last Name fields of this form.
**Proctor First Name:
**Proctor Last Name:
Proctor Place of Employment:
Proctor E-mail Address:
Proctor Phone Number:
Course #1
Course Prefix: Course Number:
Course Name:
Course Exam:
Term You Registered:
Division of Distance Education - One University Blvd., La Grande, OR 97850
1-800-544-2195 - e-mail: dde@eou.edu

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