Class (like Soc 111):
Instructor: Instructor's Email (from the course syllabus)
Is this an ONLINE test or quiz? (yes) (no )
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: Start time for quiz:
Will the class take the test/quiz on the same date you've requested above?
(yes ) (no )
Accommodations Needed for this Test/ Check all that apply!
Enlarged Test Font Size Needed
Your E-mail Address: