Testing Agreement

Please complete the Testing Agreement for Alternative Exams for students registered with the Office for Disability Services. Please complete this form 3 business days in advance of the standard test administration. Questions may be addressed to Julia Everhart at everhart.144@osu.edu 330-263-8009.Thank You!

Instructor Last Name *

Instructor First Name *

University Email *

Phone Number *

Course Name/Number/Section (e.g., ANIMSCI 2200.01 - 0010 Introductory Animal Sciences) *

How is this exam administered? Select paper-based, online, etc.

Standard Test/Quiz Administration *

Is this test/quiz time-limited?

Standard Test/Quiz Administration Time Limit *

Standard Test administration date and time *

Test/Quiz Password for online exams *

Password (online exams)

Student should record their response (mark answers) at _________________?

Students mark answers at ___________. *

Other

Please describe other option for marking answers.

Are students permitted to use a calculator? If so, select type.

Calculator permitted? *

Are students permitted to access scratch paper?

Are students permitted to access scratch paper? *

Other

Please describe other allowable resources.

Additional Materials?

Completed Exam *

How would you like to receive the completed exam?

Thank You for supporting accessibility!

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