Date form received
Sign Here
Sign Here
Final Exam
Complete and return to Room D205 at least one week prior to the scheduled in class exam.
For Final exams, please see posted deadline in room D205 or at
https://tinyurl.com/testingAAS-com
Student Section: To be completed by student
Name_____________________________________Contact Info________________________________________________
Course_____________________ Accommodations requested for this exam ____________________________
Signature_________________________________________________________________Date________________________
Professor Section: Please print clearly, we may have to reach you.
Please sign and return
this
form to student. Exams should be delivered to D-205 in person, by email at
aas@kbcc.cuny.edu or faxed to 718-368-4782. All tests will be returned to you. Please check the box below for
your return delivery preference.
Name_________________________________ Email or Phone_______________________________________
Exam Date:___________________ Exam Start Time:______________
Day of Exam: M T W Th Fr
How long does your class have to take exam? Hours_____________Minutes________________
When do you want the student to take this exam? Date_____________ Time _________________
Special Instructions for this exam?_________________________________________________________
Test Delivery:
Signature_________________________________________________________ Date_______________________
****PLEASE SEE REVERSE SIDE FOR DETAILED INSTRUCTIONS ON HOW TO USE THIS FORM****
Hold exam for pickup Deliver exam to my mailbox
Office use only
Returned to:______________________________________ Date:____________________________Room#______________________
DT___ ET___ RR____ SS____ CC ___ Others __________________ One to One ___ Exam needs to be recorded ____
Final Exam____
Class Exam__ Quiz__Midterm__Dept. Reading__Dept. Writing__ Math Exit Exam__Act Reading__CAT W__Other _____________
Professor or designee will deliver exam to D205
Exam will be faxed to 718-368-4782
Exam will be emailed to aas@kbcc.cuny.edu
Access-Ability Services
Room D-205
P: 718-368-5175
F:718-368-4782
aas@kbcc.cuny.edu
AAS EXAM REQUEST FORM
Procedures
for
Testing With AAS
1. Complete the top portion of this form as soon as you
know
that you are having
test. Be sure to
include all requested
information.
2. Take the form to your professor. You and your professor must agree on the date and
time
that
you will be taking the exam.
Please
be careful that the date and time does not conflict with any
class/lecture time.
3. Your professor will complete and sign the
appropriate
section of this form. The professor
should keep the "professor copy" and return the rest of the form to
you.
4. It is your responsibility to submit this form to
AAS
a minimum of one week before
the
scheduled
date
of the
test and before the submission deadline for finals (posted in D205 and on the AAS
website).
AAS
cannot guarantee accommodations to students who do
not
submit Test Request
Forms in a timely
manner.
5.
AAS
will r e co r d t he da te on the Test Request Form when you submit it. Be sure that
you
retain the student copy for your
records.
6. Your professor should deliver the test to
AAS
in person, by fax or by e-mail to
aas@kbcc.cuny.edu before
the scheduled
test
date.
7. If your
class
test is cancelled or re-scheduled, please notify
AAS
. If
it
were re-scheduled, AAS
would need official notification from the professor indicating the new date and time
of
the
test.
8. Report to
AAS
(Room D205) on the scheduled date and time for the test. Be on time. If
you
are more than
fifteen
(15) minutes late, you will be asked to obtain
written
permission from
y o u r
professor.
9. Be aware that AAS will administer tests in accordance with your approved
testing
accommodations.
10. Extra materials (books, notes, note cards
,
etc.) will not be allowed during an exam unless your
professor has provided instructions either on the test or separately in written form
approving the
use of these
materials.
11.
Equipment
(e.g. cell phones, electronic devices)
is not allowed
in testing rooms,
unless
related to your accommodations.
12.
If you fail to appear for the scheduled exam, you will need to repeat the steps above.
13.
Please consult with the testing coordinator if you have any questions or any problems with this
form.