Name _____________________________________
Professor's Permission Form to reschedule a test


Please leave the copy of this form with your completed test at the testing center.  Make-up tests are given only as warranted by circumstance (e.g., documented illness or documented family emergency) and as granted by instructor. The testing center in the basement of the library provides a monitored environment  It is located in Library 101, ext. 2454.  Bring a picture ID and this document (the aptly entitled "Professor's Permission Form").  You will not be issued a test without these items.



Name of student:


Name of course:



Test number (e.g., 1, 2, etc.):


Test to be taken (circle one):     before/ or   after           the official test date:


I will take this test on or before this date (enter date):



My reason for not taking the test with my class:






The signature of an appropriate third-party who can verify your reason:


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The signature of the professor is required for the Testing Center to administer the requested test:


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