REQUEST TO SCHEDULE A TESTING TIME IN DISABLED STUDENT SUPPORT SERVICES

Students are expected to read and comply with DSSS testing policies in order to use the testing facilities.

Please fill in all blanks to schedule your testing time.

STUDENT NAME:
STUDENT ID #: CONTACT PHONE:
EMAIL ADDRESS:

COURSE (e.g. POLS1101):
TEST DATE (IN TESTING CENTER):
TEST TIME (IN TESTING CENTER): (must be finished by 7:00pm M-Th, 5:00pm F)

TEACHER'S NAME:
TEACHER'S EMAIL ADDRESS:
Please provide the email address that the teacher actually uses, but NOT the Desire2Learn email address (NOT name@kennesaw.view.usg.edu). It must be @kennesaw.edu or @gmail.com or @yahoo.com, or other commonly used email addresses.

Are you taking this test at the same time that the class is taking the test? Yes       No
NOTE: You must schedule your test at the same times as the class unless the teacher has specifically approved a different testing time by notifying us via email.

Will you need any of the following?
Use of a computer for online test
JAWS software
ZoomText software
Text reading software
your personal laptop with assistive technology installed on it (must be approved by the teacher in advance)
type your test on a computer   

OTHER INFORMATION: (optional)

Contact Amy Redd (aredd2@kennesaw.edu) with any problems or concerns.