Project Contemporary Competitiveness
Advanced Studies Program
Desk Proctor Application 2009
PCC/ASP
At Bridgewater State College

Local Weather

Desk Proctor Application 2009

PCC Home Page

Print out this form and mail it to the address listed below. The form is aligned to the left for easier printing.
You can also access the application in Microsoft Word format and Adobe PDF by clicking on the links below.

Application in MS Word format

Project Contemporary Competitiveness, Inc.

Advanced Studies Program

P.O. Box 27

Bridgewater, MA 02324

(508) 279-3404 - (508)857-7424

Fax: 508-697-1027

Email: rgerhart@bridgew.edu

Desk Proctor Application

Name ________________________________________________________

Address ______________________________________________________

______________________________________________________

   Telephone __________________

   Date of Birth ________________

   Social Security#______________

High School ___________________________________________________

Current Grade Level __________________

Did you attend PCC? _____________ Years? ___________

Work Experience ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Do you have a driver’s license? ___________________________________

Will transportation to and from PCC be available? ____________________

Briefly explain your interest in the Desk Proctor Position.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________