Test Accommodations Request Testing accommodations are available for those students previously registered with ADA Services. For more information contact Barb Statdfield at 815.599.3605 or at email@example.com. DIRECTIONS: Please provide accurate and complete information in order to ensure that you receive the appropriate testing accommodations. You can find your instructor’s name, the course, and other important information on your schedule or on the course syllabus. The test accomodation request should be at least submitted 1 week prior to scheduled exams, except midterms/finals which must be submitted at least 2 weeks before scheduled exams. If you have questions about this process, please email us at firstname.lastname@example.org.Student: I.D. (9000 number) Phone Number:Instructor: Class: Example: PSY 161Date - Choice 1: MM slash DD slash YYYY Start Time: : Hours Minutes AM PM End Time: : Hours Minutes AM PM Include extended time if applicableDate - Choice 2: MM slash DD slash YYYY Start Time: : Hours Minutes AM PM End Time: : Hours Minutes AM PM Include extended time if applicableAccommodations Extended Time Large Print Scribe/Transcribe Large Screen Computer Assistive Technology JAWS Dragon Speech to Text Text to Speech Other Accomodations (if applicable) Please list.Test Reader (if applicable) In-Person Reading Software Program Quiet Location (if applicable) Testing Center Room M-143 Annex (Room M-121) ACCOMMODATIONS: The choices above pertain to a selection of possible testing accommodations. Please ONLY CHOOSE those testing accommodations that were granted to you by ADA Services. You will find your granted accommodations on your Accommodations Form given to you by ADA Services. If you are unsure of your testing accommodations please see Barb Statdfield, or call 815-599-3605 BEFORE registering for testing accommodations. You will receive confirmation of the approved testing time and accommodation(s) via email from Disability ServicesPhoneThis field is for validation purposes and should be left unchanged.