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Educational Accessibility Test Request Form

Test Requests MUST be submitted at least 5 business days*
prior to the test date.

Test administration begins at 8:15am and ends at 6:00pm Monday-Friday.

Please complete the form in its entirety to guarantee your request will be received.

First Name:*

Last Name:*

Email Address:*

Phone Number:*

Date you will take the test:*

Time you will take the test:*

Class (e.g., ENGL 110C): *

Professor's First Name:*

Professor's Last Name:*

Professor's Email Address:

Alternative Testing Needs:*

Other Alternative Testing Need:

This request will be sent directly to the Testing Coordinator, you will not receive a confirmation.Your professor will receive an email from the Testing Coordinator requesting a copy of the test on your behalf.

*If you have a test on a Monday, your request should be submitted by the previous Monday(weekends do not count)!

Please call (757) 683-4655 with questions or to cancel a scheduled test.