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All requests for special administration of exams should be in disability services two days prior to the exam date.
(*) denotes required information.
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* Student's Name:
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* Student ID:
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* Student Phone
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* Faculty Member Name:
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Faculty Phone:
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* Department:
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* Student E-mail Address:
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* Course Name, Number & Section:
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* Date of exam to be administered:
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* Time of exam to be administered:
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| Accommodations requested for the exam(s), (i.e.: extended time, reader, enlarged exams, etc...): |
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* Name of person submitting the request:
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Please indicate faculty or student:
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| I agree with these arrangement. (Form will not be processed if this box is not checked). |
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