FACULTY EXAM COVER SHEET
(This form must be completed and turned in with each exam, one per student. There should be no assumptions for instructions.)
Instructor’s Name: _______________________________ Instructor’s Phone #: _________________________________
Instructor’s Email: _________________________________________________________________________________
All exams will be emailed. Please check yes if you will also pick up the exam: Yes □
I
nstructor’s Signature at Pick Up: ____________________________________________________Date:____/____/____
Student’s Name: ______
________________________________ Student ID#:_________________________________
Time Accommodation: Double Time □
Other Accommodations: ____________________________________________________________________________
Course Name: _________________________________Exam Name:__________________________________________
Ex: Math 1324.0500 Ex. “Exam1” or “Midterm”
Date:________________________________________ Time Limit (In Hours and Minutes): _______________________
Date Exam should be taken on or by: On □ ____________________________ By □ _____________________________
Calculator: Yes □ □ Graphing or Scientific □ Scientific (Non-Graphing)
Scantron: Yes □
Blue Book: Yes □
Scratch Paper: Yes □ □ Return with Exam □ Discar
d
Textbook: Yes □
Restroom Breaks:Yes □ No □
Notes: Yes □ (specify type): _________________________________________________________
Notecards: Yes □ (specify size): ________________________________________________________
Password (Online Exams): ____________________________________________________________________________
Instructions: _______________________________________________________________________________________
Revised 9/17/19
OSD (Office for Students with Disabilities) ACCOMMODATIONS
MATERIALS ALLOWED or REQUIRED (Please check all that apply):
NCTC TESTING CENTERS:
CORINTH
: 940-498-6435 corinthtesting@nctc.edu (1500 North Corinth Street)
: 940-380-2509 dentontesting@nctc.edu (316 E. Hickory Street)
: 972-899-8335 flowermoundtesting@nctc.edu (1200 Parker Square)
: 940-668-4216 gainesvilletesting@nctc.edu (1525 West California)
: 940-521-0720 grahamtesting@nctc.edu (928 Cherry Street)
BOWIE: 940-872-4002 ext. 5212 bowietesting@nctc.edu (810 South Mill Street)
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