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Proctored Exam Request Form

We require a minimum of 4 weeks to process your exam request. All information must be provided to process your request. It is critical to contact your proctor 1 week prior to testing to ensure all materials are received. Please call 800-356-9655 ext. 4131 or ext. 4072 if you have any questions.

1. Student Information
First Name:
Last Name:
Credit Union:
Address:
City:
State/Province/Region:
Zip/Postal Code:
Country:
Daytime Phone: 
Email Address: 
Fax Number:
2. Exam Date
Exam date must be at least 4 weeks from today's date.
Today's Date:    Exam Date:
3. Exam Method
If taking an exam online, a PC with Internet Explorer 6.0 or higher is required at your proctor's site. See requirements for more details.
4. CCUFC Paper Exam Requests Only
Do you have an answer sheet? If no, an answer sheet will be sent with the exam and you will be invoiced $30 for the answer sheet, if a Comp Code is not provided below.
5. Exam Retake
If yes, your credit union will be invoiced a $30 retake fee if a Comp Code is not provided below.
6. Are you recertifying? (Certification is required after 3 years.)
7. Are you testing in a group?
  1.     If yes, how many are in your group?  
8. Designation
9. Enter Modules
Select your modules. To verify the copyright date for the CCUFC modules, please click here. FiCEP modules with Copyright ©2011 are available until 12/31/2014 only. Please note that if a Comp Code is not entered, your credit union will be invoiced for all exams.
Module Comp Code
10. Proctor Information
Your proctor cannot be someone from your credit union. For more information, visit proctored exam procedures.
Proctor's First Name:
Proctor's Last Name:
Title:
School/Business Name:
Department:
P.O. Box:
Street Address:
City:
State/Province/Region:
Zip/Postal Code:
Country:
Daytime Phone:
Email Address:
 
Please call 800-356-9655 ext. 4131 or ext. 4072 if you have any questions.
Ensure cuna.coop is a trusted sender for both student and proctor to guarantee email delivery.