Student Request to Schedule Exam at DRC

This form is for exams scheduled for the same course. Fill out a separate form for each course.

Your Name First Last
Your Phone - (###) - ### ####
Your Email
Class
Professor
Teaching Assistant
Special Arrangements, Comments, Etc... fill in below or send by email to accesstesting@uic.edu
DRC SCHEDULED EXAMS START AFTER 9AM and NEED TO BE COMPLETED BEFORE 4 PM

Please fill out the following times and dates that YOU (not the class) will take your test(s). Please include any extended time for your test(s). If there are more than six exams, please submit a another online form.
Date of First Exam / MM / DD YYYY
Start Time of First Exam Hour:
: Minute:
End Time of First Exam Hour:
: Minute:
Second Exam in Same Class (if applicable)
Date of Second Exam / MM / DD YYYY
Start Time of Second Exam Hour:
: Minute:
End Time of Second Exam Hour:
: Minute:
Third Exam in Same Class (if applicable)
Date of Third Exam / MM / DD YYYY
Start Time of Third Exam Hour:
: Minute:
End Time of Third Exam Hour:
: Minute:
Fourth Exam in Same Class (if applicable)
Date of Fourth Exam / MM / DD YYYY
Start Time of Fourth Exam Hour:
: Minute:
End Time of Fourth Exam Hour:
: Minute:
Fifth Exam in Same Class (if applicable)
Date of Fifth Exam / MM / DD YYYY
Start Time of Fifth Exam Hour:
: Minute:
End Time of Fifth Exam Hour:
: Minute:
Sixth Exam in Same Class (if applicable)
Date of Sixth Exam / MM / DD YYYY
Start Time of Sixth Exam Hour:
: Minute:
End Time of Sixth Exam Hour:
: Minute:
Thank you and if you have any other questions concerning your exam(s) please email us at accesstesting@uic.edu.