Office of Vice President for Instruction
Metolius 202
Phone: (541) 383-7205
Fax: (541) 317-3071
2600 NW College Way • Bend, Oregon 97703
STUDENT REQUEST FOR DIFFERENT FINAL EXAM TIME
Student Name (print) COCC ID Number
Current Term: Fall Winter Spring Summer 20
Phone Number
Current Mailing Address
Which final exam do you wish to have changed?
Course # Section# Instructor
Day: Time: Day: Time:
Scheduled Time for Final Exam To what time do you wish to change the final exam?
Justification:
Student Signature Date
Instructor Signature, if approved Date
Department Chair, if approved Date
If approved, send copy with all signatures to Vice President for Instructions Oce in Metolius 202.