Request for Alternative Testing

1

Course  and Test/Exam/Quiz Information

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Course and Test/Exam/Quiz Information

Course Number	Course Title	Exam/Quiz/Test Number
Course Instructor	Exam Time Limit (Max 2 hours)	Name of Student/s
Exam Type (Indicate paper or online)

2

Period of Test/Exam is Available

Note: 

• May not be for more than 1 week in length
• Once the test period has expired, the exam/quiz/test will be deleted/shredded.

 *

Period of Test/Exam is Available Note: May not be for more than 1 week in length Once the test period has expired, the exam/quiz/test will be deleted/shredded.

First Date Student Can Test

Last Date Student Can Test

3

Reason for Request

Please indicate below, the reason for making this request.

 *

Reason for Request Please indicate below, the reason for making this request.

Missed in-class test/exam/quiz

Accomodation Provision - not able to provide in classroom

Other

4

If you selected "Other" above, please provide reason for request.

Other Reason

5

BMCC Testing Location

Indicate below which BMCC location the student will be taking their exam/quiz/test at.

 *

BMCC Testing Location Indicate below which BMCC location the student will be taking their exam/quiz/test at. (Select an Answer) Baker Boardman Grant County Hermiston Milton-Freewater Pendleton

6

Allowable Testing Materials: Please indicate below which, if any, additional materials are allowed during testing.  

Note: 

• All materials approved will be collected and held in the Testing Center for pick up by the instructor or their department Academic Specialist. 
• Items will be held for up to 5 days from the date of exam.
• Expired exams or exam not picked up within 5 days of the date of the exam will be shredded.

 

Allowable Testing Materials: Please indicate below which, if any, additional materials are allowed during testing. Note: All materials approved will be collected and held in the Testing Center for pick up by the instructor or their department Academic Specialist. Items will be held for up to 5 days from the date of exam. Expired exams or exam not picked up within 5 days of the date of the exam will be shredded.

Open Notes

Calculator

Desmos Calculator

Open Book

3 x 5 card

Prior tests/exams

7

Special Instructions

Please indicate below if you have special instructions for testing.

Instructions:

8

TEST MATERIALS

If this is a paper exam, please print and deliver a copy of the exam to the Testing Center.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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