Test Appointment Request

Please submit the Testing Accommodation form to your instructor a week before your scheduled exams test date. Next, complete the test appointment request below. Your appointment is not scheduled until you receive an email confirmation from one of our staff members. Please allow 24 hours for confirmation. Disability Services office hours are Monday through Friday from 8:00 a.m. to 5:00 p.m.

*First Name:
*Last Name:
*Student Phone:
*Email Address
*Course Prefix/Number (i.e. COMM 1000)
*Exam Requesting (i.e. Quiz2)
*Do you need a computer?:
Please specify other approved testing accommodations:
*Instructor's Name:
*What day would you like to schedule your exam?:
*What time would you like to schedule your exam?:
*Date of in-class exam:
Any Additional Information:
* denotes required field

For any questions about this form, please call 719-255-3354