Fillable EXAM ACCOMMODATION FORM (North Island College)

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EXAM ACCOMMODATION FORM (North Island College)

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Country of origin: CANADA
File type: PDF

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EXAM ACCOMMODATION FORM
Student Information:
Date: Phone Number:
Student Name: Student #:
Student Email:
Exam Information:
Course: Instructor:
First Name Last Name
Exam Date:
Day Month Date Yea
r
Class Exam Start Time:
Different Start Time:
You need to write your exam at a different time because:
Add YES or NO in the box you need:
Class schedule does not allow extra time
Exam being split over several seatings
Must attend lecture or return to finish lecture
Other – explain:
Testing Help or Accommodations
listed on your letter:
Exam accommodation – Please select: Ergo Chair
Extra Time Adjustable Table
Computer Other – explain:
For Administrative Use
Accommodation letter Request exam from instructor
Matilda Exam received
Monday
January
1
2020
No
No
No
No
No
No
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EXAM ACCOMMODATION FORM (North Island College)

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Completed 5 February 2021

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