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 Information
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
administering test.
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!
