Testing Services Request Email Template

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________