FCC Testing Center Exam Form
Instructor First & Last Name:
Course info:
Course #:
Course Title:
Phone:
(H):
(W):
(C):
Test (quiz, exam, etc):
Testing Dates:
Start:
End:
Time Limit:
Student Names:
Does student have an
accommodation Plan?
Proctoring Instructions:
Note: If extended time is permitted, please account for that time
in your time limit above.
(Please check all supplemental material that is allowed or necessary)
Yes:
No:
Bluebook
Dictionary
Head Phones
Scrap Paper
Calculator
Ear Plugs
Periodic Table
Textbooks
Computer
Franklin Speller
Scantron
Other Assistive Technology
Notes (be specific... 3x5 note card, size of paper,front/back, #pages allowed, etc):
Enter specific information about notes:
Other Information:
Untaken/Expired exams will be returned to your mailbox, Box #:
Please fill out and attach to the brown envelope containing test(s) & return to Box #199 or room L104.
Completed exams will be signed for in the Testing Center.
Mary Garst @ 301-846-2522