To be completed by Student:
Student's Full Name: Email:
Course Name: Instructor:
Note: You must schedule your exam prior to submitting this form. Schedule your exam at https://calendly.com/arc-testing
Have you scheduled your exam? Yes: No:
In-class Exam Date/Time: HH00 (AM)01 (AM)02 (AM)03 (AM)04 (AM)05 (AM)06 (AM)07 (AM)08 (AM)09 (AM)10 (AM)11 (AM)12 (Noon)13 (1 PM)14 (2 PM)15 (3 PM)16 (4 PM)17 (5 PM)18 (6 PM)19 (7 PM)20 (8 PM)21 (9 PM)22 (10 PM)23 (11 PM):MM000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Eastern TimeCentral TimeMountain TimePacific TimeAlaska TimeHawaii TimeUTC
Date/Time Scheduled to Take the Exam in the ARC: HH00 (AM)01 (AM)02 (AM)03 (AM)04 (AM)05 (AM)06 (AM)07 (AM)08 (AM)09 (AM)10 (AM)11 (AM)12 (Noon)13 (1 PM)14 (2 PM)15 (3 PM)16 (4 PM)17 (5 PM)18 (6 PM)19 (7 PM)20 (8 PM)21 (9 PM)22 (10 PM)23 (11 PM):MM000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Eastern TimeCentral TimeMountain TimePacific TimeAlaska TimeHawaii TimeUTC
Accommodations Requested:
Double-time Time and 1/2 Quiet Setting Reader
Scribe Word Processor for Essays Other:
Comments (optional):
I will complete tests and/or other materials with honesty and integrity, following the testing instructions from the instructor.
Student's Signature: Date:
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