NTC - Test-Taking Accommodation Request Form

Test-taking Accommodation Request Form

Please complete and submit at least five school days before the exam/quiz is to be administered. If any questions, please contact the ExamsCSD@ntc.edu at extension 1196.
Exam Date:	Month Day Year
Exam/Quiz Times:
Last name:
First name:
Telephone #:
Campus
Course:
Chapter or Test #:
	Yes, this is a computerized test No, this is not a computerized test
Instructor's Name :
Instructor's Email :
Instructor's Phone:
Best time to call:
PLEASE NOTE: Unless indicated by your instructor, or you have an approved conflict, your test will begin at the scheduled time. If you do not show up for your appointed time you may not take the test until new arrangements are made with your instructor. It is your responsability to deliver a test envelope to your instructor. Please check all needed accommodations below.
Accommodations Request (check only previously approved accommodations):
Test Adaptations:	Large Print
	Braille
	Scribe
	Reading Software
	Separate Room
Adaptive Equipment:	Talking Calculator
	SSD Spellcheck
	CCTV
	Other:
	Extended Time
	Hours: Typical testing are hours are Mon-Thurs 7:45 AM - 5:00 PM; Fri 7:45 AM - 1:00 PM

If you have a test that must be scheduled outside of these hours please allow plenty of notice for scheduling purposes. Exams at 5:00 PM or later will be administrated if the student shows up within 30 minutes of their scheduled testing time. It will be the student's responsibility to reschedule if they missed their scheduled testing time. Any concerns call Karen Quick at Ext. 1125, Lynn Brunke at Ext. 1129 or our Testing Area at Ext. 4196. Your request must be received no later than FIVE (5) SCHOOL DAYS prior to the test, or accommodations may be denied. Remember, it is your responsibility to inform your instructor and present them with a test-taking delivery sheet/envelope.

NorthCentral Technical College - 1000 W. Campus Drive, Wausau, WI - 715.675.3331