Please only complete this form for tests hosted on Blackboard. Any non-Blackboard tests sumbitted through this platform will be discarded.Faculty Info Faculty Name * Email * Faculty Phone Number * School * - Select a value -Faculty of Applied Sciences and TechnologyFaculty of BusinessFaculty of Health Sciences and WellnessFaculty of Liberal Arts and SciencesFaculty of Media and Creative ArtsFaculty of Social and Community Services Test Details Course Code * Test Name * Password * Test Location * - Select a value -North Campus. Room LRC 2141Lakeshore Campus, Room WEL307Orangeville Campus, Room AL204 What is the regular amount of time permitted for this test? In Hours and Minutes. What is the final date this test can be written by the student? * Month JanFebMarAprMayJunJulAugSepOctNovDec Day 12345678910111213141516171819202122232425262728293031 Year 20242025 Suggested time of day for test: (optional) Example: 2pm-3pm Please note: During peak times students may not begin their test promptly at the requested time due to volume in the Centre. Please allow at least a one hour time window for the time the student should start their test. Student Info Student's Name * Student Number * Is this student registered with Accessible Learning Services? * Yes No Permitted Test Specifications and Accommodations Please check all that apply Dictionary/Thesaurus Translation dictionary Calculator Computer Internet Access (other than Blackboard site) Formula Sheet Scrap paper Exam booklet Scantron attached Open Book Open Notes Other (Specify) Other Accommodations Accommodations for Students Registered with Accessible Learning ServicesPermitted Test Specifications and Accommodations will vary for students registered with Accessible Learning Services.Test Centre staff provide all accommodations that are noted on the student's Memo to Faculty when requested to do so by the student. Faculty, please note: if you wish to deny a disability-related accommodation requested by the student on the basis that it is unreasonable, you must contact the Accessible Learning Services Consultant listed at the bottom of the student's Accommodation Letter to Faculty (issued by Accessible Learning Services). Extra Time N/A Time and one half Double Time Accommodations for Students Registered with Accessible Learning Services (Copy & Paste from Accommodation Letter) Leave this field blank