TESTING ACCOMMODATIONS REQUEST FORM

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TESTING ACCOMMODATIONS REQUEST FORM

This form is for students who receive testing accommodations through Accessibility Services. Testing accommodations should be requested at least 48 business hours in advance.

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Student ID# *

Your answer

Email Address *

Your answer

Course (ex. ENG 111) *

Your answer

Instructor Name *

Your answer

Select your campus *

Elizabeth City

Dare

Currituck

Edenton-Chowan

What day is your test? *

MM

/

DD

/

YYYY

What time is your test? *

Time

:

AM

PM

Submit

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