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Student Exam Accommodation Form You are only eligible for exam accommodations if that is an approved accommodation in Letter of Accommodation. It is your responsibility to provide your professor with a copy of the Letter of Accommodation at the start of the term. Once an examination is scheduled, YOU MUST SUBMIT THIS NOTICE FORM AT LEAST 10 BUSINESS DAYS BEFORE THE SCHEDULED TEST DATE. For example, if you want to take a test on Monday, you must submit the request two Mondays before by 5:00 PM. It is YOUR responsibility to fill out this form on time. If you submit this form late, then you may not be able to take the exam at an alternative location at your preferred time and date. Upon receiving this request, we will contact your professor to confirm the exam date and obtain the examination materials. We will make every effort to schedule the examination on the same date and at the same time as the remainder of your class. If this is impossible, we will contact your professor to authorize an alternative exam date or exam time. Proctors are available Monday - Thursday from 10:00 am - 5:00 pm. The LAST available appointment starts at 2:30 pm. In the event that a proctor is not available during your requested time, we will reach out to you to offer alternative appointments. IF YOU ARRIVE LATE FOR YOUR SCHEDULED TEST, IT MAY BE CANCELLED. Questions, comments, and concerns may be sent to IF YOU NEED TO CANCEL OR CHANGE YOUR APPOINTMENT, please email STUDENT INFORMATION Name: ________________________________ Phone: ______________________________ ID#: _________________________________________________________________________ Saint Peter’s Email: ____________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ COURSE INFORMATION Please fill out the information about the course. Course: __________________________________ Section: __________________________ Professor Name: _______________________________________________________________ Email: ______________________________ Phone: ________________________________ EXAM INFORMATION Please fill out the specific information about the exam you are requesting to take in an alternate location. Date of class’ exam: ___/_____/___ Time: ___:_____ AM/PM Length of exam: ___________________________________ minutes/hours If you are requesting to take the test on a different day or time because of a conflict, please indicate below. Note: You are not guaranteed a particular exam date or particular examination time. This office will coordinate with your professor to make arrangements. • Yes • No If yes, please explain the conflict:

posted by Isaac Hobart at 10:37 AM

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