TESTING FORM
Please deliver exams with envelope & testing form at least 24 hours in advance to:
Disability Services-WYLY Tower 318 (257-4221, TDS@latech.edu)
***PLEASE DO NOT USE CAMPUS MAIL***
Student Name (print): __________________________________________________________________
Course: _________________________________ Class Time: __________ - __________ _________
Test Date: _______________________________ Time allotted (for entire class): _______________
Alternate Date & Specific Start Time (or classes starting after 3pm): ____________________________
INSTRUCTOR PROCEDURES:
1. Please deliver tests to WYLY TOWER 318 at least 24 hours PRIOR to test time in order to
prepare for the specific needs of your student and avoid potential scheduling conflicts. (Exams
are kept in a locked safe until testing time.)
2. Exams with testing form should be hand delivered in a sealed envelope to Disability Services, or
deposited into the mail slot located on the outside the door of ODS (WT 318) at any time.
Electronic transmission is accepted but only with a completed testing form and prior approval.
***A completed testing form must accompany each exam.***
3. If an exam is not received in DS, students will be directed to the classroom with a medical
locking bag or asked to reschedule with instructor.
4. In the event the student does not show, or is late for scheduled testing, the test will be
returned to the instructor. (Specific testing tardiness policies should be explained to students
and listed under special instructions on this form)
INSTRUCTOR NAME (please print): ___________________________________________________________
APPROVED MATERIALS / SPECIAL INSTRUCTIONS: ______________________________________________
________________________________________________________________________________________
EXAM RETURN OPTIONS (Please check one):
______ Return test to my office: ________________________________________ (Building/Office Number)
______ Return test to the Departmental Office: ____________________________ (Building/Office Number)
______ I prefer to pick up the test in Disability Services at my convenience.
*Additional testing forms at http://www.latech.edu/students/ods/pdfs/testing-form-fillable.pdf
DS USE: Exam started: Exam finished:
