Fill - Alternative-testing-ackowledgement

DisabledStudentPrograms&Services

3000CampusHillDrive|Room1615,Livermore,CA94551

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ALTERNATIVETESTINGACKNOWLEDGEMENT

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IfullyunderstandtheAlternativeTestingPoliciesandProcedures.IrealizeifIdonotadhere

totheseprocedures,itmayjeopardizemyrighttotakeatestatthecenter.

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Additionally,IherebyacknowledgethatIamawarethatLasPositasCollegeisusingclosed‐

circuittelevision(CCTV)tomonitortheDisabilityResourceCenter(DRC)TestProctoring

Room.Thisprocedureisinplaceto assisttheCollegeincomplyingwiththeInstructors

specialinstructionsforeachstudent’sindividualexam.Cameraswill

beusedformonitoring

purposesonly.

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Iherebyacknowledgeandagreewiththestatementsabove.

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StudentName:________________________________W#:____________________

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StudentSignature:___________________________________Date:______________

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Alternative-testing-ackowledgement

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