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Office of Disability Services
Student Alternative Testing Request Form
Student Email Address:
Course Number and Section:
Date of Test:
Is the day and time you requested to take this test the same as when your class is taking the test? If no, explain why:
Testing Accommodations Needed
Please select "yes" or "no" if you require any of the accommodations listed below to take your exam at ODS.
Word Processor for Essay Exams:
If you need Read&Write please choose which version you prefer (PC or MAC),
If you need a different type of software (i.e. Speech Recognition, ZoomText, etc.) please specify in "other":
Read & Write - PC
Read&Write - MAC
Calculator (when appropriate):
Do you require another accommodation(s) besides what has been mentioned above?
Additional Comments (optional):
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