Testing Form

In order to accommodate students and faculty for Make-up Exams and Accessibility Exams, we have created an online form that will route directly to our office once it has been completed. Please complete this 48 hours prior to the test date.

Student Name:

Please mark all that applies to your student needs

Make-Up Exam
Accessibility Exam

Testing Date:

Date and Time test must be completed by:

Exam Start Time:

Exam End Time:

Total time given for test (please include extra time if necessary)

Instructor's Name:

Instructor's Contact Phone Number:

Instructor's Email:

Class Number:

Check all items students are allowed to use. If items are not listed please use the other box to list them.

Scrap Paper (Testing Center does not provide this)
Nursing Calculator

What are the special accommodations the student needs?

Additional Time
Quiet Room

List special instructions you would like to give the proctor.


Student will be calling to schedule exam
Exam has been scheduled

Past Due Exams:

Shred unused, past due exams
Return unused, past due exams via campus mail

After Exams:

Exams will be picked-up by Instructor.
Exam will be sent through campus mail to room