Coconino Community College - Proctored Test Request-威尼斯安卓版

Students: Please use this form to request a proctored test. Disability Resources will contact your instructor to obtain a copy of your test. If you decided not to use your proctored test accommodation or are unable to make a scheduled test, you must contact Disability Resources.

**Please remember that ALL Proctored Test Requests must be submitted electronically at least 3 business days before the date of the test. If you have trouble, please contact the Disability Resources at 928-226-4323 .

Alert: All proctored testing must be completed by 5:00 pm. If you show up late for your scheduled testing time, your time will be deducted accordingly.

If you prefer to turn in a paper version of this form, please download the Proctored Test Request paper version.

Full Name *

Email Address *

Phone Number *

Class Information

Course Name *

Instructor's Name *

Date Class Takes Test/Quiz *

Time Class Takes Test/Quiz *

Proctored Quiz Information

Proctored Test/Quiz Date *

Proctored Test/Quiz Time *

Additional Information

Additional accommodations needed for this test

First Name

Mon - Fri	8 am - 5 pm
Sat - Sun	Closed
For individual staff hours, view our DR Staff Section below.

Proctored Test Request Form

Class Information

Proctored Quiz Information

Additional Information

Information

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