Request for Change of Final Exam

Name: *

Email Address: *

Phone Number:

Please list all your courses and exam times

Course 1

Prefix:

Course No. & section:

Course Title:

Instructor:

Exam date/ time:

Course 2

Prefix:

Course No. & section:

Course Title:

Instructor:

Exam date/ time:

Course 3

Prefix:

Course No. & section:

Course Title:

Instructor:

Exam date/ time:

Course 4

Prefix:

Course No. & section:

Course Title:

Instructor:

Exam date/ time:

Course 5

Prefix:

Course No. & section:

Course Title:

Instructor:

Exam date/ time:

Please state the reason for your request: *

Exam(s) that you are requesting to change: *

Preferred time for exam: *

Word verification: * Type the characters you see in this picture.

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.

Efforts will be made to comply with your request, but adjustments will be made that have the least impact on the exam schedule.

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