Out of Class Testing (Oct) Form

OUT OF CLASS TESTING (OCT) FORM

Please keep in mind the following:

·  It is the student's responsibility to submit form to the Testing Center at least one week prior to requested exam date.

·  In order to best track information, we ask that all forms be submitted electronically to the appropriate email account (listed above).

·  If you know the dates for all of your semester exams, please list them. If there are later revisions to the exam dates, we can adjust or cancel at that time. In this case, we ask that you communicate with the testing center so space is not unnecessarily reserved.

STUDENT SECTION

Course: / Testing Location: / North Campus / South Campus
Student's Contact Information / Instructor's Contact Information
Name: / Name:
Phone: / Phone:
Email: / Email:
Accommodations / Standard Exam Time-min
Time-and-a-half testing (150%) / Exam reader / No Scantron / 50 75 90
Double-time testing (200%) / Exam writer/scribe / Enlarged font / Other:
Use of computer for essays / Private room testing / Other:
In-Class Exam Information / OCT Exam Information
Date / Day / Start Time / Date / Day / Start Time
M T W R F / M T W R F
M T W R F / M T W R F
M T W R F / M T W R F
M T W R F / M T W R F
M T W R F / M T W R F
M T W R F / M T W R F

INSTRUCTOR SECTION

Materials
NOTHING / Open book / Basic function calculator / Finance calculator
Scantron # / Open note / Scientific calculator / ANY calculator
Formula sheet / Index cards # / Graphing calculator / Other:
Exam Delivery / To Testing Center: / Email / Instructor delivery / Student delivery
To Instructor: / Delivery by TC Staff to mailbox specify location: / Instructor pick-up / Student delivery
What should happen if the student has questions during the exam?

Instructor signature (Initial if electronically): Date: