Exam Request Form - Edgenuity

Student Name Student Name First Last
Student Email Address
Student Phone Number Student Phone Number - ### - ### ####
Parent Email Address:
If this for a Foreign Language course?

If this for a Foreign Language course? Yes No
Which exam is this for?

Which exam is this for? Midterm Exam Final Exam
Is this a retest?

Is this a retest? Yes No
There is a $20 retest fee for each exam due to a failing grade or "no-show". This must be paid before a final grade can be issued.

Contact Blueprint Education at 602.674.5555 to take care of this fee.
Course Title
I will be taking my exam.....

I will be taking my exam..... using a Blueprint Education staff member as a virtual proctor at the Blueprint Education office. (2225 W Whispering Wind Dr. Ste 205 Phoenix, AZ 85085) PLEASE NOTE: Exams can only be scheduled in office on Mondays or Wednesdays, 9AM - 3 PM
By opting for online proctoring you agree that.....

By opting for online proctoring you agree that..... You have 2 devices in working order to use for testing such as: Chromebook, Laptop, Smart Phone, Tablet or Desktop. You have at least one working mic to use for testing. You have 2 working webcams that will be on the entire time so you will be visible throughout the exam. You have a steady internet connection.
By checking the following boxes, you agree to the following:

By checking the following boxes, you agree to the following: You are submitting this request at least 24 business hours in advance. You will check your email for confirmation of this request before arriving at your testing site. If your course includes both a midterm and final exam, you have completed ALL assignments prior to the exam you are requesting. I understand I must pass this exam with a score of 60% or higher, without the help of any additional resources such as AI, extensions, notes, phones or additional websites, in order to pass the course.

Exam Request Form - Edgenuity

Exam Request Form - Edgenuity

There is a $20 retest fee for each exam due to a failing grade or "no-show". This must be paid before a final grade can be issued.