ODS Test Accommodations Form

Policy:  Students with disabilities are usually expected to take their exams with the rest of the class, with disability-related modifications as needed.  However, students unable to take exams in the usual manner may make individual arrangements in consultation with their instructors and the Office of Disability Services (ODS).  Students who need nonstandard test administration should complete this form for each course and return it by October 3/February 6 to ODS in 105 Hewitt with the instructor's signature.

Procedure: 

1.    Schedule check-in with Okie Hrycak (LD/ADD) or Susan Quinby (all others) and obtain TAF cover sheet/Part I
2.    Complete cover sheet (up to the stars) and bring to check-in meeting with Okie or Susan for certification of accommodations; obtain TAF Part II
3.    Schedule meeting with each professor to self-identify and complete TAF Part II
4.    Return completed TAF (with signatures) to ODS


 

Student:

 

Phone: Email:
Course title and number:

 

Instructor:

 

Phone/w:
Phone/h:
Email:
Office Address:

 

Office hours:
Department office address:

 

Department phone:
Class hours:

 

Classroom location:

Dates of all scheduled tests, midterm(s) and finals:

Will final exam be proctored by instructor and/or his/her designate?   Yes   No
****************************************************************

Date of self-identification meeting with professor:


Date of test accommodations meeting with professor:


Certification of accommodations by ODS:

 


ODS 08/08

14a

PAGE 2