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Testing Request Form (list N/A for areas that do not apply)



  • Important Instructions - Walk-in testing is dependent on staff availability.  All ADA testing requires a 24 hrs. notice. Instructors requesting class proctoring must provide 72 hours (3 working days) notice.  Completed tests will be scanned to the instructor’s email and the hard copy will be kept in the library until the end of the semester for pick up by the instructor.  At the end of the semester, any tests not picked up will be shredded.




  • Are you the : *




  • The request is for a: *




  • On which campus are you requesting this test?: *











  • If this request is for "after hours" (between 4:30-11:00 p.m.), are you comfortable with a member of our paraprofessional staff proctoring, if available?: *







  • What is/are student(s) permitted to have or use during testing: *








  • Faculty may attach their test document below:
    (Acceptable Formats: .pdf, .doc, .docx, .xlsx)


* = Required