WCJC Testing
Center
Instructor Exam and Make-Up Exam Form
Please fill out ENTIRE form and bring with exams to the testing center.
It is the instructor’s responsibility to make the Testing Center aware of accommodations.
Instructor’s Name: Contact # or Ext:
Course Name & Number: Exam Title/#:
Student(s) to take exam: Number of Exams Delivered:
Accommodations or Special Instructions
1
2
3
4
5
6
Instructions
Exam Deadline:
Designated test time? If yes: (Please be aware we close from 1:15-2:15 for lunch.)
Time allowed for test (Please include additional time if student has accommodations) :
May the student mark on the exam? Yes No
Scratch paper (all paperwork will be attached to the exam)
The student MAY use: □ NONE □ ALL or □ ONLY the marked items listed below
□ Notes □ Calculator – type below
□ Books □ any
□ Handouts □ basic
□
Other:
Completed exams WILL be:
□ Return by interoffice mail to box _
□ Sugar land @UH Systems
□ Non-programmable
□ graphing
□ non-graphing
Testing Center Use Only:
□ Richmond Fort Bend Technical Center
□ Wharton Main Campus
□ Collected from the Testing Center
Received by:
Released by:
Date:
Date:
Signature of Instructor dropping off exams:
Date dropped off: Date picked up:
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signature
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