Test Change Form

IMPORTANT!! Test Change forms must be submitted to DS&R 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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