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Exam Request Form

Please ensure that you answer ALL questions below.  



Please note that any new exam requests submitted between the dates of December 19th - January 1st will be processed by the Open Acadia Exams office when we re-open on January 2nd.

Request to write an exam
Please ensure that you answer ALL questions below. 
(This question is mandatory)
Contact information
(This question is mandatory)
For which institution are you writing your exam?
You will be writing your exam at
(This question is mandatory)
What is your Acadia student number? (e.g. 101234567)
(This question is mandatory)
Have you contacted your instructor?
It is strongly advised that you consult with your course instructor before submitting your exam request.
(This question is mandatory)
Where do you intend to write your exam?
(This question is mandatory)
Have you made arrangements with an external proctor?
(This question is mandatory)
We need some information about the proctor and location
(This question is mandatory)
Please enter your course information
(This question is mandatory)
Exam format
(This question is mandatory)
Exam number (e.g. Midterm 1, Final exam)
(This question is mandatory)

Preferred date (only Tuesdays and Wednesdays can be selected)

Open the date time chooser
(This question is mandatory)

Preferred date

Open the date time chooser
(This question is mandatory)
Preferred time slot
(This question is mandatory)
Do you require any kind of special accommodation? (e.g. wheelchair access, extra time, etc.)
Note: Please select yes if you are a student currently registered with Acadia's Accessible Learning Services or similar at your own institution.
(This question is mandatory)
Please describe, including all pertinent details
Additional Information
Exit and clear survey