Please copy and paste all text below the line, complete for each student and send to: testingservices@mwcc.mass.edu
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Instructor:
Email:
Phone:
Student:
Class:
Test name:
Dates available:
Time limit:
Time limit if testing with accommodation:
Please type “Y” for any materials allowed:
– Calculator:
If yes, what type? (4-function, Scientific, Graphing):
– Notes:
If yes, how many sheets?:
Both sides?:
– Scratch paper:
If yes, keep or destroy?:
– Textbook:
If yes, what title(s)?:
– Internet use allowed:
If yes, what web sites?:
– Computerized test:
Password, if any:
Other instructions:
Return to instructor (in Testing Services, email, or brought by student):
Testing Services Use Only
Test date________ Time in________ Time out________
Received by________ Date________