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Office of Specialized Services: Test Proctoring Request Form

Requests submitted within fewer than seven days may be denied.

 I have already discussed arrangements for this test with my professor or sent an e-mail.
First and last name:   Telephone: 
Ramapo Email:  
Course:   Professor: 
Class Test Day:
Class Test Date:   Class Test Start Time: 
If you are requesting to start the test on a different day or time, please indicate below.  Note:  You must have the professor's permission for this.
Day/Date:  Time: 
Delivery Arrangements:
OR
Professor or Dept. Secretary will deliver test to OSS
Approved Academic Adjustments Needed for This Test/Quiz (check all that apply):
Test Parameters:
Expected average length of class test time:
 

Remember: No extra materials are allowed into the testing rooms. If the class is allowed a page of notes, formula sheets, open book, calculator, etc., please have the professor write that permission in the test instructions.
Conditions (check all that apply):
 

After you submit this request please forward your
email confirmation to your professor.

Office of Specialized Services (OSS)
Phone: (201) 684-7514  • TTY: (201) 684-7092  • Fax: (201) 684-7004
    
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Ramapo College of New Jersey • 505 Ramapo Valley Road • Mahwah, NJ 07430 • 201-684-7500
http://www.ramapo.edu/