This form is the instructor approval and completion of an official request by a student for test proctoring to be conducted by the Center for Leadership & Communication on behalf of a student's home campus. We are located in the Biomedical Sciences and Engineering Building, first floor, in suite 1322.

For additional information or questions about test proctoring please e-mail us at usg-disAbility@umd.edu or call 301.738.6315.

Instructor Information
xxx-xxx-xxxx
General Information
Exam Instructions
Please indicate the amount of time the class has to complete the exam. USG DDS will add time to reflect student accommodations as needed.
Please include any specific information that the test proctor needs to be aware of in order to proctor your exam.
Additional Instructions
Scantron Options
One file only.
3 MB limit.
Allowed types: txt, rtf, pdf, doc, docx.