Schedule an Examination

Once you have registered with DRS for the term, distributed your "Notification of Request for Accommodations" memo to your instructor, and discussed taking your examination in the DRS with your instructor, you may complete and submit this form to schedule an examination.

Please complete all required fields. You will receive an e-mail confirmation that your request has been received.

Online requests must be submitted at least 72 business hours (3 days) prior to the exam date.

Student Name *

Email Address *

Course Information

Course Dept.(e.g. HIST)

Course Num.

Course Title

Instructor's Name

Instructor's Email Address

* Your instructor's e-mail address should be listed on your course syllabus. If you cannot locate his or her e-mail address, you may wish to try the University's Faculty and Staff directory.

Exam Information
You must request an exam accommodation at least 3 business days prior to the exam. Exams must be taken at the same time the class takes the exam. If you have a scheduling conflict please visit the DRS office at 221 Commons Building .

Date/Time of Exam *

Description of Accommodation(s)

CAPTCHA

Math question 1 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.