Exam/Test Accommodation Request Form

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Exam/Test Accommodation Request Form

"*" indicates required fields

Important Guidelines:
  1. This form is for in-person/on-site exams only.
  2. Please confirm exam dates and times to ensure exam times do not cause a scheduling conflict.
  3. Please submit this form at least 2 weeks (14 days) prior to the first scheduled exam.
MM slash DD slash YYYY
Please submit this form at least 2 weeks prior to the first scheduled exam.
Student Name*
Please Enter your 6 digit Michener Student ID Number
Michener Email address*
List of Exams requiring accommodation*
Course Code
Exam Date
Start Time
Finish Time
Accommodated Finish Time
Faculty Name
 
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This field is for validation purposes and should be left unchanged.