Testing Accommodations Form

This form is to be completed at least 48 hours prior to exam.
Student Success Center Testing Form Fall 2016
Saint Mary's University of Minnesota- Disability Support Services, 70 Griffin
* Required
Student Name *
Your answer
Instructor Name *
Your answer
Course Number *
Your answer
Test DATE and TIME (to take Exam) *
MM
/
DD
/
YYYY
Time
:
AM
PM
Is this an alternate time for the exam?
Reason for the alternate exam time
Accommodations Requested *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Saint Marys University of Minnesota. Report Abuse - Terms of Service - Additional Terms
 
 
https://www.gstatic.com/_/freebird/_/js/k=freebird.v.en.fSQ0ny8SJeg.O/m=viewer_base/rt=j/d=1/rs=AMjVe6imocfdDtSMArJ1RD4xebZCuIoljQ