Faculty – Request a Special Test

By submitting the Request for Special Testing Form you agree to the Faculty Agreement for Testing.

Faculty – Request a Special Test

Use this form to submit a request for special testing.

Instructor Name(Required)

First Last

Office Phone Number(Required)

Additional Phone Number(Required)

cell phone, home phone, pager

Email Address(Required)

Backup INSTRUCTOR at UAMS(Required)

In the event you are unavailable, your backup instructor must have INSTRUCTOR ACCESS to the course to resolve any issues with the test.

First Last

Backup INSTRUCTOR's Office Phone Number(Required)

Additional Phone Number for Backup INSTRUCTOR(Required)

cell phone, home phone, or pager

College(Required)

Program/Course Name(Required)

Number of students taking the test in the Special Testing Center(Required)

Names of students taking the test in the Special Testing Center – please indicate the special accommodation for EACH student(Required)

Test Information

Test Name/Number(Required)

Exam DATE(Required)

Exam TIME

Exam LENGTH

Please indicate the length of time allowed for this test(Required)

Please note: The Testing Center closes at 6PM. All students must be finished and have submitted their tests by that time.

Regular testing time

Time and a half

Double time

Test Delivery Method(Required)

If "Other", please specify web address for web-based tests.

Test Password(Required)

Download Password

if applicable

Review Password

if applicable

Please specify any materials allowed during the test.(Required)

Check all that apply. You can upload handouts below, or email them to ssctesting@uams.edu. Please email files larger than 15MB.

None

Scratch paper

Calculator

Handouts (upload below)

Manuals

Notes

Textbook

Upload handouts here.

Please email any files larger than 15MB to ssctesting@uams.edu

Max. file size: 15 MB.

Phone

This field is for validation purposes and should be left unchanged.