Note: Please ensure that the Instructor’s Name, Course Title/Number, and Test Number is on each test left with Assessment Services.
INSTRUCTOR: ________________________________________________________
PHONE NUMBER OR EXT :_________________________________________
E-M AIL :______________________________________________________________
COURSE / TEST NUMBER:_____________________________________________
REQUIRED COMPLETION DATE: _______________________________________
ARE STUDENT NAMES POSTED ON THE TESTS?
_____ _____
(I F NO IS SELECTED , STUDENT MUST PRESENT A TEST PASS ) YES NO
ANSWER FORMAT:
SCANTRON- _______
ALLOWED TO WRITE ON TEST- _______
SPECIAL ANSWER FORM- _______
MATERIALS ALLOWED :
*** Beginning in the 2014 Academic year, mechanical pencils are no longer permitted.***
Pencils will be provided.
Please inform your students of the new guideline.
CALCULATOR( WHAT TYPE ?)
_______________
BOOKS- _____________________
NOTES_________________ _______
OTHER- ____________________________
SCRATCH PAPER(
CIRCLE ONE
) YES / NO
(S CRATCH PAPER WILL BE ALLOWED IF NO SELECTION IS MADE
…)
ADDITIONAL INSTRUCTIONS: _____________________________________________
__________________________________________________________________
___________________________________________ ___________
INSTRUCTOR SIGNATURE DATE
Instructors must deliver and/or pick up exams in person or use the Instructor Make-up
Testing Proxy Form. ***Daytona State College identification must be presented.
AS doc. revised 08/22/2014