Test Appointment Request Form

Students registered with Disability Services, please go to Accommodate to schedule test appointments.

UCCS students who meet one of the following criteria that conflicts with an exam date may submit a Test Appointment Request Form. Proof of student status and conflict are required. (* Required Field)

NCAA Student athlete
Jury summons
Active-duty military orders
Olympic Training Center student athlete

Student Information

First Name:

Last Name:

9 Digit Student ID Number:

Email:

Please indicate the reason for your test appointment request:

Upload proof of status and conflict (i.e. course syllabus and event calendar, proof of jury summons, military orders):

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, jpg, png, jpeg.

Course Information

Course Name and Section Number (e.g., PSY 1000 Section 006):

Instructor Name (First and Last):

Exam Information

Is the exam you're requesting a Canvas or online exam?

Yes

Exam Name (e.g., Quiz 2, Midterm 1, Final Exam):

Scheduled Date Class Took Exam:

Appointment Date & Time Request

Select three dates/time in order of preference. At least 48 hours in advance is required by the Testing Center for coordination with the faculty. The appointment date/time will be approved/declined by the Testing Center staff based on availability.

Date 1

Time 1

Date 2

Time 2

Date 3

Time 3

Testing Center Policies

Students utilizing the Testing Center must follow the below policies.

SCHEDULING:

No rescheduling of appointment date is allowed.
Tests must be started early enough to be finished by 4:45 pm.

ONLINE EXAMS:

In most cases, online exams can be facilitated with the faculty; no need to schedule with the Testing Center.

BEFORE EXAM:

Arrive at Disability Services (Main Hall 324) on time and with the materials needed for exam (pencils, calculator, scantron, etc.).
No personal belongings are allowed in testing rooms (backpacks, purses, cell phones, smart watches, etc.). A limited number of lockers are available in the Main Hall North Lobby.
Disability Services is not responsible for lost or stolen items from lockers or testing areas.
Hats, sunglasses and oversized jackets or coats must be removed before entering the testing room.
Refrain from wearing strong scented lotions, perfumes, deodorants, etc. that may trigger allergic reactions or create a distracting environment.
No outside scratch paper is allowed in the Testing Center.

WHILE TESTING:

Students are responsible for ensuring their exam is for the right course and exam/quiz number before starting the exam.
Students are responsible for managing their allotted testing time and exit when time expires.
Remote proctoring via camera surveillance is monitored continuously in each testing room.
Restroom breaks are not allowed. Exceptions may be made for emergencies and approved accommodations.
Refrain from distracting behavior in the test environment (i.e. talking to self, humming, clicking pens). Distracting behavior will result in being asked to leave the testing room.
Students must abide by the UCCS Academic Honor Code. Any suspected violation of the Honor Code will be reported.

AFTER EXAM:

Clean your testing space once you complete an exam, this includes brushing away eraser crumbs or pencil markings from desk.
All test materials must be turned in at exam end, including scratch paper.

Testing Center Policies Agreement

I understand and will follow the above policies.

Other Requests or Notes to University Testing Center:

You will receive an email confirmation of your appointment request within 24-48 hours of placing the Test Appointment Request Form. Contact the University Testing Center at 719-255-3354 or tcenter@uccs.edu with any questions.