Phone: 1-800-345-5669         


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STEPS MONITORS NEED TO TAKE

 

     1.) Make sure that either yourself or the examinee has the appropriate affidavit available before taking
          the final examination.

     2.) Verify the identity of the examinee with a photo ID.

     3.) Have examinee fill out the affidavit if so requested.

     4.) Sign affidavit after verifying examinee had no outside assistance with the final examination.

     5.) Fax the signed affidavit to:

Broker Educational Sales & Training, Inc.

FAX number: 1-727-372-7585

 

          You may also mail the affidavit back to Broker Educational Sales & Training, Inc. at:
 

Broker Educational Sales & Training, Inc.
Attn. Self-Study Department
7137 Congress Street
New Port Richey, FL 34653

 

As a monitor, you will need to inform the individual who is taking the examination that credit for the course will be submitted once Broker Educational Sales & Training, Inc. has received the monitor affidavit and verified that you, the monitor, has witnessed the individual taking the final examination.

You may want to print this page for fax and/or address information before filling out the form below.

Please submit the following information to receive the User Name and Password to unlock the final examination.

Thank you,
Broker Educational Sales & Training, Inc.


 

ALL FIELDS ARE REQUIRED.

THIS INFORMATION IS NOT THE AFFIDAVIT. DOWNLOAD AFFIDAVITS FROM PRIOR PAGE.

 

<% 'set up the ADO connection SET DbObj = Server.CreateObject("ADODB.Connection") 'open the connection to the database, using DSN - set up the DSN in your control panel DbObj.Open "Provider=Microsoft.Jet.OLEDB.4.0; Data Source=c:\syberworks\orgs\website_home_page\broker\monitor\request.mdb" 'Create SQL statement strSQL = "INSERT INTO monitor (Name, Phone, Email, Student, Relationship) VALUES ('" & request.form("Name_of_Monitor") & "','" & request.form("Monitor_Contact_Number") & "','" & request.form("email_address") & "','" & request.form("Name_of_Individual_Taking_Test") & "','" & request.form("Relationship_to_Individual_Taking_Test") & "')" 'Execute the SQL Statement SET oRs = DbObj.Execute(strSQL) %> <% DbObj.Close 'Close the database connection SET DbObj = Nothing 'Clean up after yourself %>
First and Last Name of Monitor:
 

 
Monitor Contact Telephone Number:
 

(Format may be: 1-123-123-1234 or 11231231234)
Monitor Email Address: 
 

 
Name of Individual Taking Final Examination:
 

 
Relationship to Individual Taking Final Examination:
 

(Supervisor, Manager, State Monitor, Other)