SDS Testing Center Scheduling Request Form

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Please complete this form if you would like to schedule a test/quiz with the MSU SDS Testing Center. Please note we request 3 business days notice to schedule, and you and your professors MUST acknowledge your accommodation(s) forms before testing with us. *This form is intended for students already registered with the Office of Student Disability Services. To learn more about our services or for information on registering, please call us at 270-809-2018.

Email *

Name *

Course (Prefix/Number/Section - ex. MAT 150-02) *

Instructor *

Date of Test/Quiz *

YYYY

Time of Test/Quiz (indicate if you have an alternate day/time if applicable) *

Accommodations Requested (if eligible):

No additional accommodations requested - only need extended time and a distraction-reduced environment.

Reader

Scribe

Kurzweil - software that reads the test to the student

Computer

Other:

Is this a quiz or a test?

Quiz

Test

Clear selection

Questions/Comments * To schedule additional tests/quizzes, please submit another form.

Submit

Clear form

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