Disability Resources Testing Instructions

Please complete this form and return to the appropriate Disability Resources office, along with the test, 48 hours prior to the student’s testing appointment.
PLEASE NOTE: It is the responsibility of the student to schedule an appointment with Disability Resources to receive his or her testing accommodations.

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Name
This field is for validation purposes and should be left unchanged.
Name of student*
First Last
Instructor*
Instructor Email*
Campus location*
Phone Extension*
Course*
Title of test*
Testing Date*
Month
Day
Year
Time allotted for testing*
Test access code, if applicable
Extended time*
Select all that apply:
- Write on test
- Write on separate paper
- Notes allowed
- Books allowed
- Calculator allowed
- Instructor will pick up test
- Student walk test to class
- Return test interoffice
- Questions allowed
If questions allowed, contact extension:*
Comments/Changes on test: additions, deletions, corrections
File
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Max. file size: 50 MB.
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Upload test
Max. file size: 50 MB.

2 MB max file size.
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Disability Resources Testing Instructions

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