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 is only for online exams or quizzes. Exams and quizzes that will be administered in the classroom 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: