Fillable Test Information Form

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Test Information Form

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TEST INFORMATION FORM
Phone: 443-518-1280
Room: RCF-359
Email: testcenter@howardcc.edu
SEE TEST CENTER WEBSITE FOR CURRENT
HOURS & CLOSURES.
NOTE: TO ENSURE PROPER TEST ADMINISTRATION, PROOFREAD AND COMPLETE ALL SHADED FIELDS BEFORE SUBMITTING.
1. Instructor’s
Last Name
First
Name:
5. Instructor’s
Phone Number
2. Course Name
6. First Date of
Administration
3. Course Number
(e.g.,MATH-070)
7. Last Date of
Administration
TIME LIMIT REQUIRED:
DO NOT LEAVE BLANK or students will
automatically receive 4 hours.
4. Test Name
(e.g., Exam 2)
8. Time Limit
(Minutes)
9. Destination
Canvas/ Online Exam
☐
HOLD
☐
Division:
All testing must fall under one of these three categories in order to be administered in the Test Center.
PLEASE CLICK OR SELECT ALL THAT APPLY.
10. Reason
For Testing
☐Makeup Course: ☐ Regular ☐ Hybrid/Online ☐Student Accommodation(s)
Eight (8) students maximum.
(Deviation requires prior
approval from the Testing Director.)
Hybrid/Online Course
Unlimited Students - A current class roster must be attached when
the number of students exceeds eight (8).
11.
Student(s) Name
Date Tested
Student(s) Name
Date Tested
1
5
2
6
3
7
4
8
12. ANSWER FORMAT
CLICK all that apply. Items such answer
sheets, blue books and scantrons must be
provided by the instructor. Flash drives
may not be utilized.
13. TESTING MATERIALS AND PRIVILEGES
Click all that apply. No electronic translators or any other electronic devices will be
permitted other than Test Center calculators.
☐
Directly on Exam
☐
NO MATERIALS ALLOWED
☐ Other :
Additional Instructions:
☐
Answer Sheet/ Scantron
☐
Test Center Scrap Paper→
☐
Discard
☐
Return
☐
Blue Book
☐
Test Center Calculator
(Test Center Calculators ONLY)
☐
HESI
☐
MyExamMaster
☐
4 Function
☐
30X
☐
83 or 84
☐
MatLab
☐
MyMathLab
☐
Dictionary (Test Center English Dictionary ONLY)
☐
Microsoft Word
☐
Textbooks
☐
☐
Notes/Index Cards →
☐
Return with Exam
PASSWORD:
TEST CENTER USE ONLY
Received: #Test:_____ By:_______ Date:_______
Total Tests Administered:__________ By:_____
Return Date:__________________
White copy: Test Center Second copy: Return to instructor after test is completed/expired Revised: 7/22/2019
Howard Community College Test Center is committed to excellence and strives to ensure that
each and every one of your exams is administered according to your specifications. Please
help us accomplish this goal by observing the following:
1. Fill in All SHADED NUMBERED AREAS (1-13).
2. Before submitting, please proofread the form. Test(s) may not be administered if certain shaded
areas are left blank.
3. Drop off tests at your division office or at the Test Center (in room RCF- 339, 359 or 366.)
4. Tests cannot be delivered by students or via interdepartmental mail.
5. Inform your students that a valid and unexpired College ID or government issued identification with a
current picture is required for testing.
6. Student must know the instructor’s LAST name.
7. Students arriving less than 30 minutes prior to the Test Center closing time will not be allowed to
test.
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Test Information Form

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Completed 19 November 2019

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