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Student First Name
Student Last Name
Student Purdue FW ID Number
Student Purdue FW Email (NO PERSONAL EMAILS)
Course, Number, and Section Example: (HIST H105-01I)
Professor First and Last Name
Date and Time Class Taking Exam
Date and Time you are scheduling exam in the SSD Testing Center
If taking exam at a different date and time than class please explain:
Please select each accommodation that you have been approved for and that you need for this exam:
Audio Recorded Exams
It is your responsibility to notify your instructor
three days in advance
to send the exam and transmittal form to the SSD office.
All audio recorded and braille exams need to be at the SSD office at least 3 - 5 days in advance so that we have time to prepare the exam.
Please click on the arrow >> below to submit your request. Thank you.
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