Faculty Testing Authorization Form
(See Reverse for Test Proctoring Policies)
THIS FORM MUST ACCOMPANY EACH EXAM TO DSS
Testing Authorization Form is available on-line at: http://disabilityservices.siuc.edu/guidelines_&_forms.html
TO BE COMPLETED BY STUDENT (Prior to giving to instructor)
Student:
Phone/E-mail:
Date given to instructor:
Special Requests:
Reader
Extended Time
Writer
Calculator
Computer
Large Print
Course:
Test Date:
Test Time:
Electronic Test
TO BE COMPLETED BY INSTRUCTOR
(Signature indicates confirmation of test time/date. If incorrect, please indicate correct time/date!)
Instructor:
Instructor Fax:
Instructor E-mail:
Depart. Phone:
Test to be:
Check All Items That Apply:
Picked up by Instructor
Open Notes
Internet Access
Delivered by Campus Mail
Calculator
Tape Recorder
Delivered by E-Mail
Computer Use
CD Player
Delivered by Fax
Open Book
Restroom Breaks
Dictionary
Student May Keep Exam
Special Instructions:
***INSTRUCTORS*** Please make sure that the Date & Time of the test are correct. You must
personally request any changes after this form is submitted to DSS. Faculty must indicate on this form
any devices/aids students may use during exams. Unless items above are checked, students will not be
allowed to use them. Cell phone use is not permitted in testing rooms.
Test Delivery and Pick-Up: Tests are to be delivered to and picked-up at the DSS Office (Woody
B150). DSS does NOT pick up or deliver tests. You may send tests and/or have them returned via campus
mail (MC 4705); you may e-mail them to DSStests@siu.edu; or you may fax them to 453-5700. If you fax
or e-mail, please follow up with a phone call to the office. If exams are returned to you by e-mail or fax, DSS
will confirm their arrival, and shred the originals. If you have any concerns, call DSS at 453-5738.
FOR DISABILITY SUPPORT SERVICES USE
Student: _____________________________________________ Comments: ____________________
Instructor: ____________________ Course: _______________ _______________________________
Delivery Method: ______________________________________ _______________________________
Test Taken: Date ______ Beg. Time ______ End Time ______ _______________________________
Proctor(s): ____________________________________________ _______________________________
C:\Forms\Yellow Test Authorization; Revised July 2012 MS/TK
DISABILITY SUPPORT SERVICES
TEST PROCTORING POLICIES
The Rehabilitation Act, as well as the Americans with Disabilities Act (ADA), requires that SIUC
accommodate students with disabilities. One of the required accommodations may be adapted testing.
Disability Support Services (DSS) staff review disability documentation and determine if adapted testing is
appropriate. Faculty decide whether adapted tests are consistent with their pedagogical intent & fundamental
course objectives. Faculty may administer tests in their own departments with appropriate accommodations.
DSS will consult with faculty to determine required accommodations.
When tests are administered at DSS, the following rules generally apply. Exceptions may be made on a casespecific basis, after individual consideration and when supported by appropriate documentation.
Advising faculty – Students should give a copy of their DSS Accommodations Card to faculty members as
early in the semester as possible. By doing so they put faculty on notice that they are eligible to use testproctoring services at DSS.
Reminder notes – Students should e-mail, or print out and give the Faculty Testing Authorization Form to
faculty in person, 2-3 days prior to testing dates. Faculty should send the Faculty Testing Authorization Form
to DSS along with tests – even if tests are faxed or e-mailed. It is the student’s responsibility to check with
instructors or DSS to make sure exams have been delivered to DSS. Proctors at DSS do not check on exams until
students arrive to take them.
Signing up at DSS – Students must sign up for exams at least 24 hours in advance. If students fail to sign up in
a timely fashion, DSS may not have sufficient staff to administer exams and students may need to
reschedule. Faculty must approve re-scheduled dates. Be prepared to show a picture ID to proctors.
Dates & times of exams – All exams must end at DSS by 4:30 p.m. Exams scheduled at DSS must be taken on
the same day & time as the rest of the class (consistent with DSS hours) unless faculty approves changes. Students'
schedules may necessitate approved changes. Students and faculty are to indicate starting times on the
Faculty Testing Authorization Form. Students must be on time for exams. If they are late, students must
reschedule after contacting faculty. DSS will keep exams locked in the testing file until we hear from
students or faculty.
Proctoring – Proctors observe tests, in person or through e-surveillance, to ensure the basic security and
integrity of exams. DSS will proctor the entire time students are testing (except open book/open note exams).
Students will be asked to use the restroom and get drinks before exams begin and cannot leave exam rooms
unless faculty allow. Proctors may also provide reading/writing assistance, if necessitated by students'
documented needs. Sign Language Interpreters may be present when students test in class to relay questions
to faculty and responses back to students - they may not translate exams. If students require clarification of
test questions, DSS staff will assist them in contacting faculty. If faculty are unavailable, students may
submit more than one answer, along with explanations of their actions.
Test return – All tests will be returned by Disability Support Services via campus mail, e-mail (as an
attachment), or fax, or you may pick up the exam at the Disability Support Services office in Woody Hall B150. If an exam is e-mailed or faxed, DSS staff will confirm receipt and then shred the original.
Take home tests – DSS does not administer take-home tests because students have unrestricted time and DSS
has limited resources. Students should utilize the same help they use for homework.
Breaks – No tests are proctored during breaks. Proctors are students and usually not present during this time.
C:Test Proctoring Policies 2012; Revised Sept 2011 TK