Disability Services

Test Reservation Form

Please fill out the form below completely. The below information is what we need for scheduling exams for proctored exams through Testing Services. Inaccurate information will cause difficulties with scheduling your exams.

To ensure staffing and compliance with health and safety expectations all reservations must be made at least three (3) business days in advance. If your reservation is made less than three days in advance, Testing Services may have to outreach to your faculty to determine next steps.

1 Start 2 Complete

Name *

CSUID *

Enter your 7 digit CSUID

Which program are you receiving the Accommodation through? *

Course Prefix, Number, and Section *

Example BIO 101 3

Instructor's Name *

Class Meeting Time

Hour

Minute

Please enter time in format 12:00PM

Class Meeting Format *

On Campus

Remote

Web Blended

Exam & Quiz Dates
Date*	Type of Assessment*
Date * Month Day Year	Type of Assessment *

Please enter the Dates of your upcoming exams which will be proctored by Testing Services. Click Add Additional Date to submit requests for more than one exam or quiz for the class. If an exam is proctored in Blackboard not by Testing Services you must contact your professor about your time extension.

Do you plan to take Quizzes in Testing Services *

Yes

Does this class have pop-quizzes or other unscheduled assessments which you wish to take in Testing Services? *

Yes

Do you need to take your exam/quiz on a different day/time in order to receive your accommodations without missing your next class? *

Yes

Only answer yes if you have a class after your class which prevents you from receiving your extended time for an exam or quiz.

Additional Information

Is there any additional information that you think Testing Services should know about your requested exams?

Leave this field blank

Cleveland State University

We are CSU

Test Reservation Form