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Virginia Test Proctor Application

Interested in assisting students who are earning their license? As an Official MOSELEY Test Proctor you may decide if and when to proctor MOSELEY students who contact you or your firm. You are under no obligation to proctor any given student and Moseley will remove you from the list upon request. Thank you for your patronage and interest in becoming an Official MOSELEY Test Proctor.

To get started, complete the form below. There is no fee to be an Official MOSELEY Test Proctor. Your application will be reviewed and you may be contacted for additional information. If approved, Moseley will display the following information to students searching for proctors by local zip codes:

Company name:
Type of company:
Company address:
Company City:
Company state:
Company zip code:
Contact person:
Phone Number: (ex: 7035551234)
Email:
Website: (ex: www.moseley.org)

The following information is required for approval but will not be displayed via the online student search;

Person submitting the application:
Phone number:
Email:

I pledge that I am the person indicated above and that, to the best of my knowledge, all the information I provided is accurate.