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Test Request Form

Please indicate if the following three statements are true. If not, please call DSS to schedule your quiz or test at 574-520-4460.

Saturday and Sunday do not count as business days.

  If your exam is on:                          Please schedule your exam by the prior:

Monday                                                 Wednesday
Tuesday                                                Thursday
Wednesday                                            Friday
Thursday                                               Monday
Friday                                                    Tuesday

Please fill in your personal information.
All fields are required.

First Name:

Last Name:


Phone Number:

Please complete the fields below about the test you are scheduling:

Date of Test (MM/DD):

Time of Test (ex: 1:00 pm):

NOTE: Final Exams MUST be scheduled @ 8 a.m., 11:30 a.m. & 3 p.m.

Class Name (ex. MATH-M 107):

Professor's First and Last Name:

Professor's E-Mail Address:

If you are rescheduling an exam, please indicate below. You can also email our office at, or call 574-520-4460. If there are any materials you are allowed to use on your quiz/exam, including
computer access, please mention below. If you have any questions or comments, please also indicate in the field below.