SUNY Canton Accommodative Services

PLEASE NOTE: This form is only for use by students registered with the Office of Accommodative Disability Services as an individual with a disability and only for exams or quizzes in online courses. Exams for in-the-classroom courses must be arranged in person at the Office of Accommodative Disability Services.

Exam Scheduling Form for Online Courses

Campus Center 235
Phone:  315-386-7392
FAX:  315-379-3877

 

To be Completed by the Student  *denotes required field

Student Name*: A value is required.
Student Email*: Please enter an email. Invalid email.
Instructor Name*: A value is required.
Instructor Email*: A value is required.

 

Course*: A value is required.
Exam Date*:
Exam Time*: A value is required.

Note/Comment:

I will require the following accommodations for this exam as outlined in my accommodation plan, previously filed with the SUNY Canton Office of Accommodative Disability Services.

I will need a READER Yes No
If a reader is required, please contact the Office of Accommodative Disability Services directly (315-386-7392) at least 3 days prior to the exam.

I will need EXTENDED TIME Yes No      Other: