Testing Services Information Request Form
Academic Resource Center

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: :

Date/Time Scheduled to Take the Exam in the ARC: :

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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