Durham Technical Community College Center for Academic Excellence
Make-Up Test Cover Sheet
Please print neatly (tests accompanied by illegible or incomplete forms will be returned to the
instructor). For additional information, please read make-up testing student or instructor
guidelines, available in all faculty lounges.
PLEASE NOTE: The CAE does not provide testing
accommodations. Students who need testing accommodations
should continue to make these arrangements with the Counseling
Office, 536-7207 ext. 1413.
Student’s Name: ____________________________________________________________
Instructor & Course Information
Instructor’s Name: ______________________________________________________
Phone & E-mail: ________________________________________________________
Course Name, Prefix & Section Number: _________________________________
Test name or number _______________________________________________
Test may be administered between _____________ and ______________
Non-completed tests will be shredded after end date if not picked up by instructor.
Time allowed ____________________________
Proctor cannot act as time-keeper but will review time allowed with student before
Materials Required The CAE cannot provide testing materials such as pencils,
calculators, scantrons, etc.
Materials Allowed Only materials listed below will be allowed.
How the completed test should be returned:
□ I will pick it up in person.
□ Send it through campus mail. The CAE cannot be responsible for test
security or timeliness of return if this option is selected. This option is provided as a
courtesy but is not recommended.
Faculty: Please complete one sheet for EACH student, even if several are taking the
same exam. Proctors: Please complete the reverse side of this form. Thank you!