EXAM REQUEST FORM

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       Please Scroll Down to fill in the course details for submitting additional exams

SB ID:   E-Mail:      

FirstName:      LastName:                    

Course#:    Example: SOC101
      Section#:    Example: 003

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested: extended Time Double time Distraction Reduced

                                           Scribe Reader/digital Computer Other Equipment

Describe Other accommodation:

Additional comments:


 

Enter the details for adding Course #2

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

      

 

 

Enter the details for adding Course #3

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

      

 

 

Enter the details for adding Course #4

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

 

      

 

 

Enter the details for adding Course #5

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

      

 

 

Enter the details for adding Course #6

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

      

 

 

Enter the details for adding Course #7

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

      

 

 

Enter the details for adding Course #8

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

      

 

 

Enter the details for adding Course #9

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

      

 

 

Enter the details for adding Course #10

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

      

 

 

Enter the details for adding Course #11

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments:

 

      

 

 

Enter the details for adding Course #12

Course#:          Section#:   

Class Start Time:    Class End Time:

Month:      Date of exam:

Semester:

 Schedule exam during class time

8:30PM exam, (time and a half), start at 7:00PM

8:30PM Exam, (Double time), Start exam at 6:30PM

Class right after exam, I Would like to start exam early

Alternate Time:

Final exam at 8:00 AM

Final Exam at 11:00 AM

Final Exam at 2:00 PM

Final Exam for 5:00PM, (Double Time), start at 4:00PM-8:45PM

Final Exam for 5:00PM, (Time and one Half), start at 5:00PM-8:45PM

Final Exam for 8:15, (Double Time), start at 4:00PM-9:00PM

Final Exam for 8:15, (Time and one Half), start at 5:00PM-8:45PM

Accomodation requested:  extended Time  Double time  Distraction Reduced

                                            Scribe  Reader/digital  Computer  Other Equipment

Describe Other accommodation:

Additional comments: