MCC Testing Center Form

Student Information

• *Name of Student Testing:
• *ID#:
• *Phone:
• *Email:
  
  
  

Instructor Information

• *Name of Instructor:
• *Email:
• *Phone:
  
  
  

Exam Information

• *Name or Catalog Number of Course:
• *Chapter/Midterm/Final Exam:
• *Deadline date for taking this exam:
  
  
  

Make-up Exams

• The student made arrangements with me personally to make up this exam. The student is aware of the due date and is responsible to make an appointment for testing. Yes   No

Read Write Gold

• The student has been approved to use Read Write Gold. Yes   No
  
  
• The attached exam is in the following format Email   Flash Drive
  
  

Please check all items that MAY be used

Calculator   Type of Calculator:

Class Notes   Collect   Do not collect

CD   Collect   Do not collect

Computer Station

Dictionary   Collect   Do not collect

Flash Drive   Collect   Do not collect

Handouts   Collect   Do not collect

Note card(s)   Collect   Do not collect

      Size:   Number of cards:

Scantron answer form and #2 pencil

Scratch Paper   Collect   Do not collect

Tables/Formulas   Description:

Textbook

Other:

• This exam needs to be printed in color Yes   No
  
  
• *Other instructions:
  
  

Time Restriction

• No Limit   Limit
  
• In hours:
• Or in minutes:

Returning Exam

Email   Email other than name@eicc.edu:

Shred Original

Send original by intercampus mail

Faculty mailbox

Test file drawer (Accessible when the Test Center is open.)

U.S. mail (Instructor must provide a self-addressed envelope)

Upload Test File