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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.

*Required Fields
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:  [None] Select a Date Delete the 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 $35 for the answer sheet, if a Comp Code is not provided below.
5. Exam Retake
If yes, your credit union will be invoiced a $35 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. CFC eSchool Part 1 or Part 2 participant?
9. Enter Modules
Select your modules. If you do have the older, 2nd edition modules with ©2011, you will need to order the new 3rd edition modules that correspond with the 3rd edition exams. To verify the copyright date for the CCUFC modules, please click here. To order these modules, call 800-356-8010, option 3 or email: ccsorders@cuna.coop.
Selected Designations:

Comp codes must be preceeded with a "P" and contain 10 characters in order to be valid - i.e. "P123456789"

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

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