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Test Instructions
Student Name
____________________________________________
_____________________________
_____________________________
Test Date
Instructor Name
_____________________________
_____________________________
Class ~ Course No.
Test #
The class was given __________________ For this test
(Allotted Time)
Special Instructions
(Closed book, closed notes assumed, unless otherwise specified)
£ May take test any time on the same day as class
£ May take test between these hours:_________________________.
£ Alternate test day/time:___________________________________.
£ Calculator (Circle) Scientific Graphing Basic Any
£ Dictionary
£ Ruler
£ Open Book
£ Open Note
£ Scantron
£ Notecard allowed
£ Notesheet allowed
£ Other____________________________________________________
____________________________________________________
Office!Use!only!
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Start!Time!By:!_________!
Finish!Time!By:!________!
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Completed!By:!_________!
Sent!By:!______________!
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Notes:!____________________________________________!
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Student Support Programs!
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16101'Greenwood'Ave'North'•'Shoreline,'WA''98133'•'(206)'546-4545'•'shoreline.edu'•'ssd@shoreline.edu'
Shoreline!Community!College!provides!equal!opportunity!in!education!and!employment!and!does!not!discriminate!
!on!the!basis!of!race,!sex,!age,!color,!religion,!national!origin,!marital!status,!gender,!sexual!orientation!or!disability.!!
The!following!person!has!been!designated!to!handle!inquiries!regarding!the!non-discrimination!policies:!
Veronica!Zura,!Director!of!Personnel!Human!Resources!and!Legal!Affairs!
,!Telephone:!(206)!546-7858,!E-Mail:!vzura@shoreline.edu
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