Test Intake Form: Professors

Please provide information relating to the student's test.

Student Name*
First Last
Course*
Your Name*
First Last
Test Date*
Test Time*
: HH
MM
How do you plan to deliver the test to Disability Services?*
- in person, hard copy (Disability Services is located in Villa Maria, Suite 18)
- by email, electronic copy (email to: tests@immaculata.edu)
- by Interoffice Mail (Disability Services, VM 18)
Items Allowed
Please describe any items students may use for the test (i.e. calculator; a sheet of notes; periodic table, etc)
Special Instructions
Length of Test
Please indicate how long an average student has to complete the exam. We will then review the student's letter of accommodation and adjust the time allotted accordingly (only if student has been approved for extra time). If you have any questions, please email tests@immaculata.edu

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