Test Information and Adjustment Form
Please complete all the information below to schedule your test or quiz in the Office of Disability Services.
Your information must be ACCURATE since this form will generate an email to your instructor.
Call 372-6119 with any questions.
Student First Name
Student Last Name
T Number
(e.g. T00012345)
* Please enter in a value
* Please enter a proper T-Number
Student Phone Number
(e.g. 931-372-9999)
* Please enter in the format 123-456-7890
* Please enter in the format 123-456-7890
Full Student Email
(e.g. imstudent42@students.tntech.edu)
* Please enter in a TTU email address.
* Invalid email format. Must be a TTU email account
Instructor Name
Be accurate
Full Instructor Email
(e.g. JDoe@tntech.edu)
People Finder
* Please enter in a TTU email address.
Course
Include course name and number
Test
OR
Quiz
Date of Classroom Exam
(e.g. 05/01/2014)
* Please enter a date.
* Invalid date format.
* Unfortunately Time Travel has not been invented.
Please try again.
Time of Classrom Exam including AM or PM
(e.g. 10:00 AM)
* Please enter time (e.g. 3:30 PM)
* Invalid time format.
Testing Date in the Office of Disability Services
Must be the same date as the classroom test date.
* Please enter the correct date format (e.g. 02/13/2013).
Incorrect Date format.
This field must be the same as classroom exam date. If you would like to schedule your test for a day other than the classroom exam, Please contact Disability Services at 372-6119
Testing Start Time in the Office of Disability Services
Please enter a time between 8:00 AM and 11:00 AM OR between 1:00 PM and 3:30 PM.
* Please enter time (e.g. 3:30 PM)
Please enter a time between 8 and 11 am OR between 1 and 3:30 pm
Time given for test in minutes in the regular classroom
(Enter only a number, like 55 or 80)
Please enter only numbers. Enter the test time in minutes.
Please enter only numbers. Enter the test time in minutes.
Accomodations approved by ODS for your test or quiz:
Check all that apply.
CCTV
JAWS
Kurzweil
Scribe
Noise Reduction
Calculator
Comments
I understand that if I submit a request after business hours or on weekends it will be received and processed at open of the next business day.
* Please comply with the message above
By clicking the button below you agree that the time for which I have signed up to take this exam does not conflict with any of your other courses.
* Please comply with the message above