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Exam Accommodation Request
Your First Name: Your Last Name:
Your Fredonia E-mail address: @fredonia.edu
Enter your instructor:
Enter Name and Number of Course:

Example: MATH 122 University Calc 1

Date exam is scheduled for in class:
Date you are scheduling exam if different from class:
Use mm/dd/yy format
Time exam is scheduled to begin in class:
Time you wish to begin exam if different from class:
Example: 09:00 AM
Length of time the class is being allotted to complete exam:
  Example: entire class period or 10 minutes for quiz
How will exam be delivered to DSS?
Instructor sends by email
Instructor brings to LC
LC picks up from instructor or department secretary
Student brings
Other (please indicate)
How will exam be returned to instructor?
Instructor picks up from LC
LC returns to instructor or department secretary
Student returns (RARE)
Other (please indicate)
 
How often does this class meet?
Mon - Wed - Fri
Mondays Only Thursdays Only
Tues - Thurs
Tuesdays Only Fridays Only
Mon - Wed Wednesdays Only    
 
Anything Else?
Ready to Submit?
             
Link to Learning Center Home Page

4th Floor, Reed Library
(716) 673-3550
E-mail: disability.services@fredonia.edu

Link to DSS Main Page