Assessment Center Testing Authorization
ROCK HILL ASSESSMENT CENTER
assess
mentcenter@yorktech.edu
P: (803) 981-7176
CHESTER ASSESSMENT CENTER
assessmentcenterchester@yorktech.edu
P: (803) 385-0474 / F: (803) 581-5434
Instructions
Each Testing Authorization must be filled out completely
A valid deadline date MUST be present
For paper tests, instructors MUST write their name AND the student’s name on the test.
Instructor Name: ____________________________ Phone #: ______ -- ______ -- ________________
Email Address: _____________________________________________________________________________
Time Allowed: _______________________
Test Open Date: _________________________
Course: ____________ Section __________
Test Name and Number: ____________________________________________________________________
Special Instructions: ________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________.
Please Select ALL that Apply
Calculator: Basic Scientific Graphing or Other Explain: _______________________________
Scantron: Yes No
Book(s): _________________________________________________________________________________
White Board? Yes
No
No
Scratch Paper? Yes
No
Notes?
Yes
N
o
Return Scratch Paper to Instructor? Yes
Return Notes to Instructor? Yes
No
Other (please explain): ______________________________________________________________________
_________________
_____________________________________________
___________________________.
Clear Form
Thesaurus
Dictionary
Test Close Date: _______________________
Online Test Password:_______________________
Check Photo ID
Test Return Instructions
Return to Division Office Instructor Pickup