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At-Home Internet Testing
Permission Form

Greetings,
Please have only the parent or guardian who will be completing the verification forms fill in the information below. This will give me a handwriting sample for comparison.
Thank you.

___________________________________ (Please print) has my permission to take chemistry exams at home over the Internet.

I will supervise all exams and ensure that they have been taken by the student on the verification form, and that they have been taken without outside material, such as notes or texts.  (A calculator and a periodic table may be used.)

Your name ___________________________________
                                    (please print)

Relation to student _________________________

Phone _________________________

Signature ___________________________________  Date _______________