Type of Exam: Other:

Note: Instructors are responsible for accurate information on this form and to make arrangements to retrieve completed exams. All exams are by appointment only. SDS exams must be taken at same time as class. A current photo ID is required.

All other exams may be taken only on the following days at the following times:

FALL/SPRING SEMESTERS: Wednesday 6:00 PMTrumbull Campus Thursday 1:00 PMBy Appointment Only Friday 10:00 AM and 1:00 PM

SUMMER SESSIONS: By Appointment Only

Student Name:

Instructor Name:

Today's Date: Exam Completion Date:

Course Title: Time Permitted for Exam:(Enter normal class time)

Items to be used for exam:

Blue Book

Calculator

Computer

Notes

Open Book

Scrap Paper

ACADEMIC SERVICESTelephone: (330) 675-8868

(330) 675-8802 Fax: (330) 675-8982

The Learning CenterEXAM COVER SHEET

Collect Scrap Paper

Distribution of Exam: (please select)

Email Address:

Campus Location:

th\139774

Contact Number:

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No Yes No

Instructor will pick up exam from the Learning Center

Scan exam and email to Instructor(Off-site only)

Mail exam via Campus Mail(Off-site only)

** The Learning Center willcalculate additional time forSDS students.

Scantron Form NoYes

th\139774

PAGE -2-

For Academic Services Only:

Proctored By: ___________________________________________________ Date: ____________________

Exam Time Begin: __________________________ Exam Time End: __________________________

Faculty Signature: ________________________________________________ Date: ____________________

NOTES:

EXAM COVER SHEET (continued)

To turn in an exam in-person, click thePrint Form button and attach the form toa hard copy of your exam.

This form cannot be saved to your computer. If you would like a copyfor your records, please print your completed form.

To send an exam and this formelectronically, click on the Submit by Emailbutton, follow prompts, and add your examas an attachment using your email program.

          

                                                                                                                                        

 

Note:         Instructors are responsible for accurate information on this form and to make arrangements to retrieve completed exams.

          All exams are by appointment only.  SDS exams must be taken at same time as class.  A current photo ID is required. 

         All other exams may be taken only on the following days at the following times:

 

                           FALL/SPRING SEMESTERS:         Wednesday           6:00 PM

                           Trumbull Campus                  Thursday           1:00 PM

                           By Appointment Only                  Friday                   10:00 AM and 1:00 PM

                            

                           SUMMER SESSIONS:                  By Appointment Only

Items to be used for exam:         

 

                      Blue Book

 

                      Calculator

 

                      Computer

 

                      Notes

 

                      Open Book

 

                      Scrap Paper

ACADEMIC SERVICES

Telephone:         (330) 675-8868

                  (330) 675-8802

 Fax:                  (330) 675-8982

The Learning Center

EXAM COVER SHEET

Collect Scrap Paper

Distribution of Exam: (please select)

th\139774

** The Learning Center will

calculate additional time for SDS students. 

Scantron Form

th\139774

PAGE -2-

For Academic Services Only:

 

 

Proctored By:         ___________________________________________________         Date:         ____________________

 

 

Exam Time Begin:         __________________________         Exam Time End:         __________________________

 

 

Faculty Signature:  ________________________________________________         Date:         ____________________

EXAM COVER SHEET (continued)

To turn in an exam in-person, click the Print Form button and attach the form to a hard copy of your exam.

This form cannot be saved to your computer.  If you would like a copy for your records, please print your completed form.

To send an exam and this form

electronically, click on the Submit by Email button, follow prompts, and add your exam as an attachment using your email program.

July 20, 2011

Online exam cover sheet for The Learning Center.Asked to create form by Dan Palmer and Elaine Shively

Teddi Humberger

Exam Cover Sheet1

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