Exam Booking Form - Castlegar and Trail
Exam Booking Form - Castlegar and Trail
For students with academic accommodations.
Location for invigilation:
*
Castlegar Campus
Trail Campus
Nelson
*Note: Accessibility Services will email the instructor an exam request three days prior to the exam date.
Instructor name
Instructor name
*
First
Last
Instructor email
*
Course name and number (i.e., ENGL 110, CHEM 60)
*
Course section number (i.e., C01, CD1)
*
Student name
Student name
*
First
Last
*NOTE: Instructors please fill in the information below.
Exam type
*
Exam type
Quiz
Test
Midterm
Final Exam
Other
Other
How is this class being invigilated?
*
How is this class being invigilated?
Proctoring software
In-person, in a classroom
In-person, in a classroom with student using their own laptop
In-person, over zoom
This exam is not being invigilated
Other
Other
Date of exam
Date of exam
*
/
MM
/
DD
YYYY
Exam start time for class
Exam start time for class
*
:
HH
MM
AM
PM
AM/PM
Exam duration for class
*
Exam duration for class
15 minutes
50 minutes
2 hours
3 hours
Other
Other
Exam format
*
Exam format
Paper exam
Moodle exam
Launchpad
Online exam (not using Moodle)
Other
Other
What is the password for the exam? Please note, this form is sent directly to accessibility services for security purposes. If there is no password please write "None."
*
Instructor contact during exam — how can the invigilator contact you if the student has a question about the exam or if something goes wrong with the online exam?
(Please include email and phone number)
Email
*
Phone
Phone
*
-
###
-
###
####
Please indicate which apply to the exam and sign below:
*
Please indicate which apply to the exam and sign below:
Open textbook
Any form of notes allowed
Graphing calculator allowed
Non-graphing calculator allowed
Formula or index card allowed
Computer required
Maps
Compass
Ruler
None
Other
Other
Please indicate any other special instructions or requirements:
Instructor signature (draw or write in box below)
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.