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: We need 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. It must be submitted at least 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:Phone Number:Instructor:Class:Date - Choice 1: Date Format: MM slash DD slash YYYY Test reader and scribe/transcribe accommodations are not available on Wednesdays. Testing Center HoursStart Time: : HH MM AM PM End Time: : HH MM AM PM Date - Choice 2: Date Format: MM slash DD slash YYYY Test reader and scribe/transcribe accommodations are not available on Wednesdays. Testing Center HoursStart Time: : HH MM AM PM End Time: : HH MM AM PM Accommodations Recorded Exam Extended Time Quiet Location Large Print Test Reader Word Processor Scribe/Transcribe Scribe/Transcribe Intensity Lamp Braille Braille Writer Computer Assistive Technology Flash drive JAWS Dragon Other ACCOMMODATIONS: The choices below 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.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.