AARC - Exam Accommodation Request

Please submit this form at least 5 business days prior to a scheduled test or exam to request to take the exam at the AARC located in the Christopher Center for Library & Information Resources (CLIR) ground floor

Student Information
Student Name Student Name First Last
Student Valpo ID#
Must be 7 digits. Currently Entered: 0 digits.
Student email address

Please use your @valpo.edu email here
Course and Exam Information
Course for Exam

Please enter in format of Dept-Number-Section, like COMM-100-A
Course Instructor's email
Date of Exam Date of Exam / MM / DD YYYY
Student's Proposed Start Time Student's Proposed Start Time : HH MM AM/PM

Please enter start time of exam
Exam End Time Exam End Time : HH MM AM/PM
Amount of time non-accommodated students are given to complete the exam?

*Confirm this timeframe with your professor if you are uncertain.

Standard Class Lengths are:
50 minutes
75 minutes
TIME: Per your accommodation letter, how much extended time are you to receive for this exam?

TIME: Per your accommodation letter, how much extended time are you to receive for this exam? Time and a half (150%) Double Time (200%) Other Other
Testing Arrangement Option:

Testing Arrangement Option: My instructor has said that I will test in the AARC My instuctor has another location and will uphold my accommodation Other Other
Additional Approved Testing Accommodations:

Please list any other accommodations that you are requesting here, other than time?
Notes
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AARC - Exam Accommodation Request

AARC - Exam Accommodation Request

Student Information

Course and Exam Information