Test Change Form

IMPORTANT!! Test Change forms must be submitted to DR 24 hours before the time of the newly rescheduled test. Failure to do so will result in no accommodations for the test!!

SELECT ONE:
The instructor made this change or it is a TBA test.
I am making this change and need instructor approval.
(If instructor approval is needed this form may be submitted but you also need to print a form or pick up a form and have your instructor sign it before the change will be made in our records.)

Student Name
Dept & Course No.
   
My "To Be Announced" test will be Date: e.g., 2/1/2005
  Time: until
   
Old Test Date e.g., 1/1/2006
New Test Date
   
Old Test Time until
New Test Time until
   
My email (______@d.umn.edu)
   
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