SRO – REVISED March 2018
Student Name: Course and Number:
Instructor Name:
Scheduled Test Date:
Test:
Test Deadline: no later than:
Time allotted
for the students taking this test in the classroom
:
50 min 75 min Other
Instructor Contact Number:
E-mail:
ADMINISTRATION OF TEST
Resource materials allowed:
Notes:
Return to Instructor: Yes No
Calculator: (Specify Type) Basic Scientific Graphing
Scratch Paper Return to Instructor Yes No
Books: Please Specify
Dictionary Thesaurus Scantron (Must be provided by
instructor)
Other Allowed Materials
Additional testing instructions:
DELIVERY OF TEST TO CASS/SRO
Authorization to Admini
ster Test WITH ACCOMMODATIONS
Counseling and Support Services: Student Resource Office
**Open this form in full version of Adobe Acrobat, Do not use a Browser Plugin**
Test Return Confirmation: Office Use Only
Time Started:
Room:
Test ID #
Date:
Date/Time:
Proctor:
Returned By:
Received By:
Date Sch:
Time Sch:
Date Admin.: Time Comp.:
Notes:
Sending Electronically SROTesting@yorktech.edu
Delivering Hardcopy to CASS
RETURN TO INSTRUCTOR
Scan and Email to:
Instructor Pickup at CASS/SRO
Deliver to box in Division Office
Instructions:
Please attach the test and this form
to an email using a unique name for
each file sent. Please contact CASS/
SRO with any questions:
803-327-8007
This is a D2L or other online test/quiz
Password
