Students with Disabilities Testing Confirmation Request

Please fill out the form below to provide approval and proctoring information for 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.

Formula Sheet
Pick up
Delivered by Professor or Student
Attach file and send via this form
This box should be used to provide any instructions that do not fit in the drop down boxes above.