SSC Testing Accommodations
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Student Success Center Test Request Form
Due to limited space, students must request exams in the SSC 48 hours prior to the exam date.
Requests not within this window will be granted on a space/exam availability only basis.
Are you signing up for the PRAXIS Exam?
Click Here
Otherwise fill out the form below.
Student ID:
(Value Required)
Last Name:
(Value Required)
First Name:
(Value Required)
E-Mail Address:
(Value Required)
Select Subject:
(Value Required)
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ACC
ART
ATC
BIO
CAT
CEP
CHEM
CIS
CJ
CLS
COLL
COM
CRIM
DAN
DH
DMD
ECON
EDL
EDLM
EDUC
EED
ENG
EP
FAC
FIN
FREN
GBUS
GEO
HE
HIST
HON
HS
IDL
LING
MATH
MGT
MKT
MUS
NUR
PA
PE
PHIL
PHYS
POLS
PSYC
READ
SDE
SLC
SLP
SOC
SPA
SPAN
SPED
SWK
THE
Select Course Number:
(Value Required)
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Course Title:
Instructor:
(Value Required)
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Check the calendar below for dates when testing will not be available before scheduling your exam. Thank You!
Date/Time you will take the exam/quiz in the Learning and Student Development Center:
(Value Required)
Expected format: DD-MON-YYYY HH24:MI
Click on the '?' for military time conversions.
Completing request form to confirm additional time (as dictated in Letter of Accommodation) is added to Sakai for quiz/exam
Requesting to take traditional quiz/exam in SSC (i.e. paper quiz/exam)
Requesting to utilize SSC as reduced distraction environment for remote/online quiz
Requested Accommodations: (requests will be verified by your accessibility services file)
Double Time
Frequent breaks
No Accommodations-Make up Exam or other type of Exam
Other
Reduced Distraction Environment
Scribe
Test Reader
Time and a half
Untimed
Use of a calculator
Please explain any other information you would like the proctor to know before the test:
Cell Phone Number:
Are you resubmitting this form to change the date/time for a test you requested previously:
No
Yes
Submit
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