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Accommodated Exam Request Form
Accommodated Exam Request Form
michend
2020-04-14T13:22:24-05:00
The Griffon Testing Center is open Monday through Thursday from 8 a.m. to 2:30 p.m. To schedule an exam, complete and submit the Accommodated Exam Request Form below.
Student Information
Student's Name
*
Student's MWSU Email Address
*
Instructor's Name
*
Instructor's MWSU Email Address
*
Course (e.g., BIO 101)
*
Department Phone Number
*
Exam Schedule
The student and instructor will need to work together to determine a mutually agreeable date and time for the student to take this quiz or exam in the Griffon Testing Center. Enter the date and time this exam is to be administered in the fields below. Please Note: The Griffon Testing Center is open Monday through Thursday from 8 a.m. to 2:30 p.m. so please keep this in mind when scheduling an exam for a student who needs additional testing time.
Date
*
MM slash DD slash YYYY
Day of the week
*
Select...
Monday
Tuesday
Wednesday
Thursday
Time
*
Select...
8:00 a.m.
8:30 a.m.
9:00 a.m.
9:30 a.m.
10:00 a.m.
10:30 a.m.
11:00 a.m.
11:30 a.m.
12:00 p.m.
12:30 p.m.
1:00 p.m.
1:30 p.m.
Testing Parameters
The information below helps clarify the conditions under which students in the classroom are being examined.
For students taking this exam in your classroom, how much time are they allowed to complete the exam?
*
Do the students who will be taking this exam in your classroom have access to the following:
Textbooks
*
Yes
No
Lecture Notes
*
Yes
No
Note Cards
*
Yes
No
Computer
*
Yes
No
Internet
*
Yes
No
Formula Sheet
*
Yes
No
Calculator
*
Yes
No
Additional Comments or Instructions
Upload and submit your exam directly to the Griffon Testing Center.
Drop files here or
Select files
Max. file size: 20 MB.
Completed Exam
All exams, once completed, will be available for pick up in the Counseling Center. The Counseling Center is located in Eder Hall 203 and is open from 8:00 a.m. to 4:30 p.m., Monday through Friday.
Contact Us
Lindsey Smith
lsmith8@missouriwestern.edu
Mike Ritter
arc@missouriwestern.edu