Instructor Authorization Form

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Disabled Student Programs and Services
4700 College Oak Dr. • Sacramento, CA 95841
Tel: (916) 484-8382 • VP: (916) 993-3087 • Fax: (916) 484-8888
DSP&S Testing Services Information & Instructor Authorization Form
Instructors: It is your responsibility to collaborate with DSP&S to provide test accommodations to students who are legally eligible.
Approval

By law, students with verified disabilities have the right to receive academic adjustments and auxiliary aides (including
testing accommodations) to facilitate access to college programs.
In order for a student to be approved for testing accommodations, they must meet with a DSP&S counselor, provide
verification of disability identifying specific educational limitations, and based on this information a student may (or may
not) be approved for testing accommodations.

Notification to Instructors

DSP&S offers Test Proctoring as a service to the faculty of ARC; when a student is approved for testing accommodations,
the student will bring you a “Letter of Accommodation” along with an “Instructor Authorization Form”. This form alerts
you that the student is approved for specific testing accommodations.

Please review the “Letter of Accommodation” and return the “Instructor Authorization Form” to the student. DSP&S has
limited capacity to proctor exams, and some instructors may be asked to accommodate students outside of DSP&S.
The Proctoring Process

It is the student’s responsibility to return the completed “Instructor Authorization Form” and request test proctoring in the
DSP&S office at least one week in advance; DSP&S asks your assistance by announcing tests/quizzes/exams to your students
at least one week in advance.

Students will provide an “Exam Cover Sheet” to the instructor as each test is scheduled; instructors specify testing
conditions and allowances by completing and submitting the “Exam Cover Sheet”.

It is the instructor’s responsibility to submit exams to DSP&S Testing Services at least 2 days in advance with a completed
“Exam Cover Sheet”.

DSP&S will proctor tests with the approved accommodations and instructions specified on the “Exam Cover Sheet”.

Security cameras and test proctors will monitor each testing room. If a student violates the Testing Services Contract, the
test will be stopped immediately. DSP&S will record the incident in writing, return the exam, and report to the instructor.
Test Return

After the student has taken the test in the DSP&S office, DSP&S will return the test to the instructor as specified by the
instructor on the applicable “Exam Cover Sheet”.

If a student misses the test proctoring appointment, the test will be returned to the instructor. It is the student’s
responsibility to arrange any make-up with their instructor.
Testing accommodations make tests accessible to students with disabilities; accommodations may affect how a test is taken, but not what it measures.
INSTRUCTOR AUTHORIZATION FORM
Please return the completed form to student; student will return this form to DSP&S prior to scheduling exam times.
Instructor Name:
Course:
Default Time Allowed In Class for Exams:
☐Instructor will hand deliver
Delivery Options:
Student ID:
Student Name:
Quizzes:
☐Instructor will email
☐Student will deliver sealed exams
Consent:
☐Instructor will accommodate student
☐Instructor authorizes DSP&S Testing Services to accommodate student as capacity permits
Instructor Signature:
8/2012 JDR
Date:
OnBase: Testing Accommodations
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