Form - Exam Accommodation | Wartburg College, Waverly, Iowa USA

Exam Accommodation Request

This service is for disability accommodations and make-up exams ONLY. You cannot schedule CLEP,
MU90, MA90, or other exams online. Please call (319) 352-8615 for more information.

GENERAL INFORMATION

SELECT EXAM DATE/TIME

Name:
Student ID:	Year:
Student Cell:
Course Name:
Instructor:
Reason for Accomodation:
If Other, please explain:

You will receive a automatic receipt of this e-mail.
The Pathways Center will send you a separate e-mail confirmation.

Exams must be scheduled between the hours of 8 a.m.-4:30 p.m.
Monday through Friday.

Preferred:
Date:
Time:

Alternate:
Date:
Time:

Length of Exam:

Contact E-mail (REQUIRED):

Wartburg College - 100 Wartburg Blvd. - Waverly, IA 50677 - (800) 772-2085