Exam Booking Form - Tenth Street
Exam Booking Form - Tenth Street
For students with academic accommodations.
Location for Invigilation:
*
Castlegar Campus
Silver King Campus, Nelson
Tenth Street Campus, Nelson
Trail Campus
Extension Centres (Kaslo & Nakusp)
Grand Forks Campus
*NOTE: Accessibility Services will Email the Instructor an Exam Request 3 days prior to exam date
Instructor Name
*
Instructor Email
*
Course Name
*
Course Number & Section
*
Student Name (List multiple names separated by a hard return.)
*
*NOTE: Instructors please fill in the information below.
Exam Type
*
Exam Type
Quiz
Test
Midterm
Final Exam
Other
Other
Exam Date for Class
Exam Date for Class
*
/
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
2 hours
3 hours
Other
Other
Exam Format
*
Exam Format
Paper Exam
Launchpad
Moodle Exam
Online
Other
What is the passcode for the exam? Please note, this form is sent directly to accessibility services for security purposes.
*
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 telephone)
*
Please indicate which apply to the exam and sign below:
*
Please indicate which apply to the exam and sign below:
Open textbook
Calculator allowed
Computer required
Compass
Any form of notes allowed
Formula or index card allowed
Maps
Ruler
NONE
Other
Other
Instructor 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.