Testing Accommodation Form

One week prior to test is recommended to ensure that accommodations can be arranged.

Come to your test prepared.  If you are allowed a calculator, laptop, textbook, or notes of any kind, you are responsible for bringing them to the test.  Disability Services will not provide you with any of these.

Fields marked with an asterisk(*) are required

Date to take test*

Student Name*

Student IN*

Student Phone*

Student E-mail*

Course*

Instructor*

Time class takes test*

Time you wish to take test*

Test Accommodations:






(okay with 1 or 2 other testers)


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