This form provides us with instructor contact information and information about the exam(s) that students will be taking. By indicating exam dates we can monitor the usage of the testing center to ensure that the room does not get overbooked. The form also provides us with what resources students can or cannot use during their exams.

Instructor Information

First Name
Last Name
Department
Campus Address
Phone
Email

Course Information

Course Title
Course Number  (i.e. FINA206)
Enrollment
Semester	Fall Spring Summer

Test Dates

	Start Date:	End Date:	Test Type:
First			Paper Based Computer Based
Second			Paper Based Computer Based
Third			Paper Based Computer Based
Fourth			Paper Based Computer Based
Fifth			Paper Based Computer Based
Sixth			Paper Based Computer Based
Calculators can be used.   Student notes, textbooks, and other reference material can be used. Approximate average time to complete an exam: minutes
	Start Date:	End Date:	Test Type:
Final			Paper Based Computer Based
Calculators can be used.   Student notes, textbooks, and other reference material can be used. Approximate average time to complete Final Exam: minutes

Additional Instructions