Student Life

Quiz/Test/Exam Invigilation Request Form

Please include all required quizzes/tests/exams for the semester on this form. Check the accommodations that apply for each quiz/test/exam.

  1. Be sure that you have spoken to each professor prior to the test in order to remind her/him of the accommodations you have been granted.
  2. Invigilation requests must be submitted to the Coordinator of Accessibility Programs no later than 3 weeks from the first day of classes Wednesday, January 23, 2020. Requests for tests occurring prior to this date must be submitted at least 2 weeks prior to the test date.
    • Changes or adjustments to these requests must be submitted no less than seven business days prior to the test date.
  3. Any special requests must be discussed in person with Sandra Loeppky, Coordinator of Accessibility Programs in Room A02 (
Student Information
First Name
Last Name
Phone Number
Email Address
Course # Test Date & Time
Please indicate if you have classes before and/or after this exam request Extra Time Private Exam Space Use of a Computer Scribe/ Reader



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