Exam Invigilation

Before completing the form below please read through the following points to determine your eligibility for special exam invigilation:

Student must be registered with the Student Support and Accessibility Office prior to receiving exam accommodations.
Be sure that you have spoken to each professor prior to the test in order to remind her/him of the accommodations you have been granted.
Student must submit completed form to the Student Support and Accessibility Office TWO WEEKS prior to scheduled exam, or THREE WEEKS prior to the first day of final exams.
Any special requests must be discussed with the Student Support and Accessibility Office in Student Life and Learning.

Student First Name *

Student Last Name *

Student ID *

Phone Number

Email *

Test #1

Course and Classroom number *

Instructor *

Type of test *

Test Date *

Test Time *

If you have more than one test, fill out the information below. If not, you may submit the form with a single test.

Course and Classroom number

Instructor

Type of test

Test Date

Test Time

Course and Classroom number

Instructor

Type of test

Test Date

Test Time

Additional Information

Leave Blank

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