Calendar of Events

Click on a day to learn more about programs and events offered by the Counseling Center.

S	M	T	W	T	F	S
1	2	3	4	5	6	7
8	9	10	11	12	13	14
15	16	17	18	19	20	21
22	23	24	25	26	27	28
29	30	1	2	3	4	5

DISABILITY SUPPORT SERVICE TEST REQUEST (Pink Sheet)

Please use the following form to request a Test at the Disability Support Services located at the Counseling Center.

*Kindly fill the form completely to facilitate processing of your request.

Student Name:	*
Today's Date (mm/dd/yy):	*
E-mail address:	*
Phone number:	*
Name of Course and Number:	*
Instructor Name:	*
Class Date of Exam (Including day):	*
Class Time of Exam (AM/PM):	to *
Requested Date of Exam (Including day):	*
Requested Time of Exam : (Testing Hours:9:00 am to 4:00 pm, Mon-Fri)	to *
ACCOMODATIONS: Please check only those in which you recieve on your Accomomdation Form and that you will need for this exam	Time & a Half Computer Scribed Exam Double Time Calculator(Type) : Private Space Enlarged Reader Other
Comments:	(Optional)

NOTE: By submitting this form, you acknowledge that you will inform DSS 24 hours in advance of any cancellations or changes. Failure to do so may result in the cancellation of your testing privileges. You also agree to adhere to the University Academic Honesty Policy. You realize that any dishonest activities will be reported to your professor and to the Office of Judicial Programs.