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Instructions: 1. Complete the entire form below. Forms should be submitted at least 7 working days before an upcoming exam/quiz date. 2. Exams/quizzes are to be delivered to Lindsay Jansen by 12:00 (noon) the working day before the scheduled exam/quiz. Exams can be delivered by email to: firstname.lastname@example.org, hand-delivered to the DRC, OR faxed to (859) 257-1980. 3. Completed exams are to be picked up at the DRC by the instructor, or whom they designate, the working day after the scheduled exam.
This form is for the INSTRUCTOR or coordinator to complete (not the student). Are you the instructor/coordinator?
Instructor's Phone Number
Course Name (ex: MA 109)
Are the exams given in paper or electronic format?
Lindsay Jansen, Student Affairs Staff II- Exam Coordinator University of Kentucky Division of Student and Academic Life Disability Resource Center, Multidisciplinary Science Bldg. 725 Rose Street, Suite 407, Lexington, KY 40536-0082 O: 859-257-2754 F: 859-257-1980 email@example.com www.uky.edu/drc
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