Testing Services Request Form

Student Information

Student's Name*

Course (e.g., BIO 101)*

Instructor's Name*

Instructor's Email*

Department Phone Number*

Exam Schedule

The student and instructor will need to work together to determine a mutually agreeable date and time for the student to take this quiz or exam in the Griffon Testing Center. Enter the date and time this exam is to be administered in the fields below. Please Note: The Griffon Testing Center closes at 4:30 p.m. so please keep this in mind when scheduling an exam for a student who needs additional testing time.

Date*

Day of the week*

Time*

Testing Parameters

The information below helps clarify the conditions under which students in the classroom are being examined.

For students taking this exam in your classroom, how much time are they allowed to complete the exam?*

Do the students who will be taking this exam in your classroom have access to the following:

Textbooks*

Yes
No

Lecture Notes*

Yes
No

Note Cards*

Yes
No

Computer*

Yes
No

Internet*

Yes
No

Formula Sheet*

Yes
No

Calculator*

Yes
No

Additional Comments or Instructions

Upload and submit your exam directly to the GTC

Drop files here or

Completed Exam

All exams, once completed, will be available for pick up in the Counseling Center. The Counseling Center is located in Eder Hall 203 and is open from 8:00 a.m. to 4:30 p.m., Monday through Friday.