Request to test at the Assistive Technology Lab and Testing Service
Instructions: This form is for students registered with Disability Services who have already turned in the necessary Accommodation Request Forms this semester.

*Students must register for an exam at least 3 working days prior to date of exam.

TSC ID *
Your answer
Student Name *
Your answer
E-Mail Address *
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Phone Number *
Please enter number in the following format: (###) ###-####
Your answer
Exam Details
Course *
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Test Date *
MM
/
DD
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YYYY
Time *
Time
:
Professor's Name *
Your answer
Professor's E-Mail *
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Comments
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