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Testing Instructions Form
Please fill out the form below for any student who requires accommodations for your test.
Student Name
Required
COURSE (ex. MAT121)
Required
TEST NUMBER (ex. test #4)
Required
Upload test and any resources. Please upload as DOCX files.
Upload additional tests or resources
Class Length. (Hour:Mins). UNLIMITED will be changed.
Required
Student is allowed the following:
Required
NOT APPLICABLE
Open-book
Open notes
Internet
WORD
Calculator
Special notes or considerations
TEST DEADLINE
Required
Test Return Preference
Required
Deliver to Division Office
Instructor Pick-up
INSTRUCTOR'S NAME & PHONE NUMBER
Required
Division Signature: X_________________________________________________
Did you attach the test (if applicable)?
Required
Yes
No
