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Special Exam Accommodations   

Request for Special Exam Accommodations

I am applying for a Request for Special Exam Accommodation for the     and     .

 

 

 

(Do not use ssn)

 

 

 

 
 

 

 

EXAMINATIONS

** List all of your in-class examinations in date order.

Date**

Time

Course Number

(Ex: PUBG7801MM)

 

Course Name

(Ex: Administrative Law)

Professor

Reason for Special Accommodations

Other

Please list any specific technology or physical space modifications needed and/or include any other information you believe is necessary.