ERM Final Examination Request

This is the application for the final examination of your course. You have to take the examination under proper supervision. We will send the examination directly to your examination proctor. Check with your proctor prior to the test date to make sure your exam has been received. You are required to bring current identification with both your picture and signature to the exam.

FINAL ERM EXAMINATION

Date set for Examination:

Proctor's Name:

Proctor's Telephone Number:

Proctor's Fax Number:

Proctor's Official Title:

Proctor's School (or Institution) Name:

Proctor's School (or Institution) Address (Street & Room):

STUDENT

Important! Fill in the information below so that we can process your request.

Name:

Driver's License Number:

Phone Number (Business):

Phone Number (Home):

Home Address:

Please submit this Examination Request Form at least
two weeks prior to test. In the alternative, you may call and register via the phone.

To register by phone, call (512) 245-2507 and speak with Debi Perkins.

Debi Perkins

Texas State University-San Marcos

Continuing Education

601 University Dr.

San Marcos, Texas 78666

FAX # (512) 245-3173

Phone # (512) 245-2507