100%

ADA Testing Center Appointment Request Form

Questions marked with a * are required

Please complete this form for all in-person tests to be taken in the Testing Center only. This form is not for online exams taken at home or practical exams. Submit this form no later than 3 business days before the test.

If you have any questions about implementation of your accommodations, please contact us at dos@sonoran .edu. You may also request changes to accommodations through the Accessibility Office.

Contact Information

First Name

Last Name

Phone

Test Date

Is this a Make-up Test?

Yes

No

Test Name (Quiz #1, Midterm, Exam #1, Module Review #3, etc.)

Course Code

Course Instructor(s)

Test Start Time (normal start time for entire class)

Faculty-Allotted Time for the Test (not your adjusted time - will be adjusted per your accommodations)

30 Minutes

50 minutes

60 minutes

80 minutes

90 minutes

110 minutes

120 minutes

Other

What testing format will be utilized, per your accommodations (choose one only)?

Scantron (default option)

Manual

Special Proctored

Online (reserved space only)

Non-time related accommodations you are utilizing (special seating, alternative lighting, etc.)

Powered by QuestionPro

Loading...