EXAM LAB TEST FORM
ACC
Test and Exam Center
REQUIRED Instructor Information
Date:
Name:
Contact #:
E-mail:
Course Name/#:
Exam Name/#:
# of Exam Copies:
Exam Description
Exam Time Period
Maximum Time Allowed
Room 218A
acctesting@lccc.wy.edu
Phone: (307) 772-4262
Regular Course Exam
Make-Up Exam
Telecourse/Internet
Testing Platform
Paper
LMS
(password)
Lockdown Browser
Exam requests will not be accepted or
the exams administered for whole classes
that should be tested during regular class sessions.
Individuals Taking Exam
Roster Attached
Any Student Requesting Exam
Other Computer-Based Program
(please specify)
Specific Students (see below)
Student May Use
NOTHING
Textbook
Dictionary/Thesaurus
(password)
Scratch Paper (#)
Attach to Exam
Calculator
(please specify)
Notes/Cards
Other Aids
Computer
(please specify)
(please specify)
Special Instructions or Accommodations
Proctor must have approval from instructor to extend
exam dates. E-mail notification is preferred.
Exam Dates
Exam Pick-Up
Instructor
Signature
Print Form
Students with Testing Accommodations
Standard Time
Extended
Time