advance notice Required, at least 3 business days, before your exam/quiz. Office for Disability Services (ODS) business hours are Monday – Friday 8:00 a.m. – 5:00 p.m. First Name * Last Name * OSU Email * Student Mobile Phone Number * Class Name, Course Number, Section Number (See syllabus or AIM) * Date of Exam * Year Year20222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Appointment date Time of Exam * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Length of Exam (hours and/or minutes) * Test Assistant: Reader/Scribe * Are you requesting a test assistant: reader/scribe ? Instructor First and Last Name Instructor OSU email * I confirm that I will not engage in cheating. * YES .I confirm that I will not engage in cheating, plagiarism or assisting others to cheat or plagiarize, nor have I seen any cheating or plagiarism during the course of this examination. I acknowledge that working in a group on this examination is strictly prohibited, as is the usage of notes, unless authorized and documented in writing by the course coordinator or professor. I also understand that, unless authorized by the course coordinator or professor, working in a group or otherwise receiving or providing assistance on this examination is a violation of the Code of Student Conduct. I acknowledge the following expectations. * YES I acknowledge the following expectations for upholding academic integrity when taking an exam at the Office for Disability Services (ODS): I will not engage in cheating, plagiarism, or assist others in doing so. I will not use any unauthorized materials (e.g. cell phone, notes). Authorized materials must be documented in writing by my course coordinator, instructor, Access Manager, or Test Proctor. ODS testing spaces and computers will be monitored in-person and/or remotely via CCTV in order to ensure proper adherence to academic integrity standards. ODS will report any evidence of academic misconduct (including CCTV footage) to the Committee on Academic Misconduct (COAM) and my instructor for further review. Remote Proctoring Request * Are you requesting remote proctoring? CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.
