Final Exam Request
Find information
online:
www.ttuisd.ttu.edu
Questions? Call:
800.MY.COURSE
(800.692.6877)
Mail to:
TTUISD
Box 42191
Lubbock, Texas 79409-2191
806.742.7101
Locally
Fax to:
806.742.7222
806.742.7288
Full-time
diploma students
The final exam may only be requested after all lessons for the course have been received for grading. Requests
should be made at least 30 days prior to your deadline (ex: graduation date, course expiration date). Please note
that it takes 3-5 business days to ship final exams for print courses. If your request is received less than 30 days
before your deadline, you may request expedited shipping (see information below).
Date: ___________________________________ Student’s Name__________________________________________________________________
Social Security # or matriculation #*________________________________________________________________________________________
City________________________________________________________ State____________________________ Zip_______________________
Student Phone (______)__________________________________ Parent Phone (______) _________________________________Ext._______
E-mail Address_________________________________________________
PRINT COURSES ONLY
Course Name __________________________________________________
Affix the “EX” bar TTUISD label here.
Instructor’s Name: ______________________________________________
Do NOT use bar codes from other courses.
PROCTOR INFORMATION
Proctor’s Name _________________________________________________
Title_____________________________________________________
Institution _______________________________________________________________________ E-mail__________________________________
Institution Address _______________________________________________________________________________________________________
City __________________________________________________________
State _____________
Zip__________________________________
Work Phone (_______) ____________________________ Ext. _________ Cell Phone _______________________________________________
Reminder: If you change your proctor after this request is processed, there will be a $25 proctor change fee.
Note: No re-submissions or additional course work will be accepted after final exam is taken.
PAYMENT INFORMATION
If you wish to expedite the shipping for the Print Final after it has been processed (allow 24 to 48 hours for processing),
please complete the payment information and fax this form. The overnight charge is $30.
q
C
heck – No temporary checks accepted (make checks payable to Texas Tech University)
CK#____________________ *Driver’s License #____________________ *Date of Birth___________________________________________
q
Money Order (payable to Texas Tech University)
q
Credit Card:
q
P.O. #__________________________________________________________
q MasterCard q VISA q Discover q American Express
Card # _______________________________________________________ Cardholder’s Name _______________________________________
Expiration Date _______________________________________________ Signature _______________________________________________
*Required when paying by check
SEPT2015