testing-accommodation - Office of Academic Affairs

Cornell College > Office of Academic Affairs > Testing Accommodation Form

Please allow two (2) day's notice. Testing space is available only for students with documented learning disabilities. Please be aware that the student will not be proctored after initial check-in.

Request for Testing Accommodation

Faculty Making Request::
Student Needing Accommodation::
Course Title:
Today's Date:
Date of Exam:
Time of Exam:
Term:
Amount of time allowed for completion of exam::		As needed No more than one hour No more than 90 minutes No more than two hours No more than three hours
What tools or materials may the student have available during exam::		Nothing Computer Calculator Blank Paper Notes Textbook No restrictions
Is internet use required for additional accommodation or for successful completion of the exam?:		Yes No
How will exam be delivered to the Library?:
How will exam be returned to faculty member?:
Any additional instructions?:

* Required Field