CASCADIA
COLLEGE
DISABILITY
SU
PP
ORT SERVICES
Exam Accommodation Form
STUDENTS
Scheduling Your Tests
1. Give this form to your instructors for tests you want to
take at the DSS Office.
2. Instructors should give you back the form once it is
completed.
3. Meet with a DSS Staff Member in-person to schedule
your tests to take place in the DSS Testing Rooms in
order to receive testing accommodations.
4. DSS will schedule the tests and send you both an
appointment request to confirm the scheduled exams
through email.
Important: DSS strongly recommends scheduling your
exams early in the quarter. At the very least, DSS must
receive this completed form three business days in
advance of your exam; for final exams, submit this form
two weeks in advance.
On the Day of Exam
Check in at the DSS office by signing in on the Kodiak
Corner kiosk 5-10 minutes before your scheduled
exam start time.
If you arrive later than your scheduled start time, that
time will be taken out of your original proctoring time.
If you know you will be late, please contact the DSS
Office.
INSTRUCTORS
Completing this Form
Discuss with the student the specific exam proctoring and
accommodation needs and plans for both the DSS Office
and your allowances. Important: Make sure to complete
the form entirely and return it to the student for
scheduling with DSS. Please use another form if more
space is needed to list exams.
Post-Scheduling of Exam Proctoring
Information about DSS exam proctoring will be sent to
your Outlook Calendar or a follow-up email will be sent if
more information is needed. Please accept the calendar
invitation and/or confirm with an email.
Before the Day of the Exam
Please remember to submit the exam in the method you
indicated on the form the day before the exam is
scheduled (Monday exams should be submitted by 9am).
Updated exams or proctoring information should be
emailed to dssproctoring@cascadia.edu.
Alternative Testing Location
Any alternative testing location arrangements made
between instructor and student that do not involve DSS do
not require this form (e.g., testing in instructor’s office,
other distraction-free location, or online tests that are not
proctored in class).
By signing this form, I acknowledge:
1. The information on this form regarding exam proctoring is correct to the best of my knowledge.
2. I have read through and agree to the Proctoring Procedures outlined above.
3. I must abide by Cascadia College’s Academic Integrity policies. I understand that violation of these policies will
be reported for further disciplinary actions. These policies can be found here on the Cascadia website.
4. My exam proctoring will be monitored by video surveillance.
Instructor Signature & Date
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