Students with Disabilities Testing Confirmation Request

Please fill out the form below to provide approval and proctoring information for the exam. If the student arrives late for the scheduled exam time in the Access Office, are we authorized to allow the student to take the exam?
  • Exam Time

    If the time does not appear in the drop down box, please type it in the text box labeled "Other."

  • Please list the amount of time the class will be allowed for the exam.

    If the amount of time is not listed in the drop down box, please specify the amount of time using the "Special Instruction" box at the end of the form. 
    For continuity, please only list the amount of time the class is allowed for the exam. The Access Office will calculate additional time for accommodations. This is intended to prevent any confusion or miscommunication.

  • Books
    Formula Sheet
    Scratch Paper
    Lock Down Browser
  • Pick up
    Delivered by Professor or Student
    Attach file and send via this form

  • File attachment size limit is 2 MB.
  • This box should be used to provide any instructions that do not fit in the drop down boxes above.
  • Security Captcha: *
  • Access Office