STUDENT Request to Schedule Exam at DRC
This form is for students to schedule exams at the DRC. Please fill out a separate form for each course.
Your Name
First
Last
Your Phone
-
(###)
-
###
####
Your Email
Class
Professor (Please put both FIRST and LAST name)
Professor's Email address
Teaching Assistant
Technology needed(assistive technology, computer, Internet access, etc.), 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:
00
09
10
11
12
01
02
03
:
Minute:
00
15
30
45
End Time of First Exam
Hour:
00
09
10
11
12
01
02
03
04
:
Minute:
00
15
30
45
Second Exam in Same Class (if applicable)
Date of Second Exam
/
MM
/
DD
YYYY
Start Time of Second Exam
Hour:
00
09
10
11
12
01
02
03
:
Minute:
00
15
30
45
End Time of Second Exam
Hour:
00
09
10
11
12
01
02
03
04
:
Minute:
00
15
30
45
Third Exam in Same Class (if applicable)
Date of Third Exam
/
MM
/
DD
YYYY
Start Time of Third Exam
Hour:
00
09
10
11
12
01
02
03
:
Minute:
00
15
30
45
End Time of Third Exam
Hour:
00
09
10
11
12
01
02
03
04
:
Minute:
00
15
30
45
Fourth Exam in Same Class (if applicable)
Date of Fourth Exam
/
MM
/
DD
YYYY
Start Time of Fourth Exam
Hour:
00
09
10
11
12
01
02
03
:
Minute:
00
15
30
45
End Time of Fourth Exam
Hour:
00
09
10
11
12
01
02
03
04
:
Minute:
00
15
30
45
Fifth Exam in Same Class (if applicable)
Date of Fifth Exam
/
MM
/
DD
YYYY
Start Time of Fifth Exam
Hour:
00
09
10
11
12
01
02
03
:
Minute:
00
15
30
45
End Time of Fifth Exam
Hour:
00
09
10
11
12
01
02
03
04
:
Minute:
00
15
30
45
Sixth Exam in Same Class (if applicable)
Date of Sixth Exam
/
MM
/
DD
YYYY
Start Time of Sixth Exam
Hour:
00
09
10
11
12
01
02
03
:
Minute:
00
15
30
45
End Time of Sixth Exam
Hour:
00
09
10
11
12
01
02
03
04
:
Minute:
00
15
30
45
Thank you and if you have any other questions concerning your exam(s) please email us at
accesstesting@uic.edu
.