UIC Test Scoring Reservation
Instructor Name *
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Instructor E-Mail Address *
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Department *
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Daytime Phone Number *
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Exam #1 - Course Name and Number (i.e., BA 100) *
Your answer
Exam #1 - Drop-off Date (M-F) *
MM
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DD
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YYYY
Exam #1 - Drop-off Time *
Time
:
Exam #2 - Course Name and Number (i.e., BA 100)
Your answer
Exam #2 - Drop-off Date (M-F)
MM
/
DD
/
YYYY
Exam #2 - Drop-off Time
Time
:
Exam #3 - Course Name and Number (i.e., BA 100)
Your answer
Exam #3 - Drop-off Date (M-F)
MM
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DD
/
YYYY
Exam #3 - Drop-off Time
Time
:
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