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ACADEMIC TESTING CENTER


Exam Appointment Request Form
Points to be noted:
1) The maximum sitting capacity of exam center is 39 students. If more students have to be
tested, the appointment may be requested for longer duration or split into two days.
2) Prior to booking a request, please confirm exam center availability for the required day
on center calendar.
3) Please allow buffer time of 15 minutes between two consecutive exams.
Instructor Information
Name:
Department:
Phone number:
Email:

Test Information
Course Number & Section:
Exam Name:
Exam Date:
Number of Examinees:
Exam Start time:
Exam End time:

Testing Aids Permitted:


No testing aids will be allowed unless specified in the exam request form.

Open Book Open Notes Calculator


Comments:

Todays Date: ________________

Classroom Office Building: Room 112, 2200 169th St Hammond, IN 46323-2094 (219) 989-4115
academictest@pnw.edu

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