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LSSU Testing ServicesAppointment Request — Spring 2024

Fall 2024

You will receive a response to this request from a Testing Services staff member. If you have any questions, please call 906-635-2027 or email [email protected]

All requests must be two business days prior to test date.

"*" indicates required fields

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First Name*

Last Name*

Email*

Phone

Request Acknowledgement*

I acknowledge this is a REQUEST to test outside of the class and must seek approval from the professor in order to take the exam.

Type of Exam*

Professor*

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Name of College/University you are taking exam from*

Request 1

Name of assessment

(Ex: Exam One / Quiz One)

Minutes class receives

Date/Time the rest of the class is taking test/exam

NOTE: You must obtain instructor permission to schedule your test at a time that is different than the rest of the class.

Date Requested

Time Requested

Do you receive testing accommodations?

Yes

No

What accommodations will you be using for this exam?

Extended Time

1.5x

2x

I do not need to use my extended time accommodation for this appointment

I do not receive extended time

Other

Room Type

Private Room

Reduced Distraction

No Preference

A private room means you will be in a room by yourself. A reduced distraction room means you may be in a room with a few people. No preference means you do not receive/prefer any room accommodation.

Additional Accommodations

Reader

Scribe

Computer

Calculator

Other

Other

Is there any additional information you would like to submit?

Testing Services will email you a confirmation to the email you provided if space is available. By submitting, you also agree to Testing Services' current policies and procedures.

We reserve the right to deny your request if we do not have the space or personnel available to proctor your exam or if your professor disagrees with this request.

Please email us at [email protected] if your exam time moves or if you need to cancel your appointment.

LSSU exam information request will automatically be sent to your professor.

CAPTCHA

Appointment Request

Name of assessment

Minutes class receives

Date/Time the rest of the class is taking test/exam

NOTE: You must obtain instructor permission to schedule your test at a time that is different than the rest of the class.

Date Requested

MM slash DD slash YYYY

Time Requested

650 W. Easterday Avenue
Sault Ste. Marie, Michigan 49783

T: 906-635-2231
F: 906-635-2111

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