Class (like Soc 111):
Instructor's Email (from the course syllabus):
Is this an ONLINE test or quiz?
Date to take the test (Please give 3 days' notice; this does NOT include Saturday & Sunday):
(Month/Day/Year -- ex: 02/16/17)
Start time for test/quiz:
Will the class take the test/quiz on the same date you've requested above?
Accommodations Needed for this Test/ Check all that apply!
Enlarged Test —
Font Size Needed
Your E-mail Address: