Testing Services Request Email Template

Please copy and paste all text below, complete and send to:  testingservices@mwcc.mass.edu

Instructor:
Email:
Phone:

Student:
Class:
Test name:
Dates available:
Time Limit:

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 Only

Test Date________ Time in________ Time out________

Received by________ Date________