For Faculty

NOTE: All fields are required unless marked as "(optional)"

Instructor Contact Information

Instructor First Name:

Instructor Last Name:

Building:

Office:

Email:

Phone:

Student Testing Information

Course Name:

4 or 5-Digit Class Number:

Student Name(s):

Please separate names with a semicolon.

Testing Date:

Class Time: (optional)

Number of Students Testing:

Test Time Given in Classroom (hours and/or minutes):
Note: The "Test Time Given in Classroom" is only the amount of time that you give the class to complete the test. DSS will make any necessary time adjustments for the student.

Number of Exam Pages or Problems:

Type of Test:

Online Exam
Paper/Pencil Exam

Please select the details for the exam: (optional)
If no details are specified by the instructor (Scantron, Open Notes, etc.), none of the following will be allowed.

Are students allowed scratch paper:

Yes
No

Test Results:

Testing Center to scan and email completed test(s) to instructor
Instructor will pick up test(s) from the Testing Center
Online test – no action needed

Attach File: (optional)

Special Instructions: (optional)

For Faculty

SCC Testing Center Accommodated Test Instructor Form

Instructor Contact Information

Student Testing Information