Examination Request Form-old

    • To be completed by students sitting exams in Accessibility Services (formerly Disability Services) area.

      Please read: Exam Procedures (.docx)

      First Name:

       

      Last Name:

       
      Email:    (required)

      Exam Date:

         [None] Select a Date Delete the Date (required)

      Class Start Time:

         (required)
       Important: Please contact Accessibility Services prior to your exam date to confirm your start time.   

      Length of Exam for Class:

         (required)

      Instructor's Name:

         (required)

      Subject:
      (eg: BADM 106)

         (required)

      Accommodations (as specified in your Instructor Notification Letter) 
      (required)

             

       
      Please click once and wait because the submission may take a few minutes to respond.