Student Accommodation Request for a Course Test

This will be emailed to the instructor, the testing coordinator and your MSState email account.

Your Name:

Your Net Id:

Best way to contact you:

Test Date:

Course:

Instructor

Search for a Professors Name and Email.

Instructor's Email address

Regular Class Time

If the course time is not listed above please write the test time in the Note Field below.

Testing Accommodations:
Please mark the accommodations your paperwork allows you to receive.

Test Taking Aids:

Reader, Writer

Electronic Aids:

Use of Calculator Use of Computer

Test Time: Extended time rule of thumb is time plus one half.

Notes Regarding Test

Please note professors may, at their discretion, provide the accommodations through their own department. The Student Support Services' testing center is available to accommodate professors in providing the proper testing environment for their students needs. Please contact the instructor separately to remind them to send the test to the testing coordinator.