Testing Center Transmittal Form

Departmental Notification of Test Sharing

(Note: As author of these tests, I am submitting a Transmittal Form in my name indicating deadlines and supplemental materials to be applicable to all other faculty members using these tests.)

Today's Date:

From: (Author of Tests)

Author's Home Campus:

Author's Email:

Author's ACC Phone:

Other Phone #

Valid only for current semester:

NOTE: A NEW FORM MUST BE SUBMITTED EACH SEMESTER.

Fall
Spring
Summer

Year:

Information regarding faculty members authorized to use my tests this semester:

Instructor's Name	Course Name (i.e. ARTS-1301, etc.) /	Course Synonym #	Course Section #s	Home Campus	Phone
	/		/
	/		/
	/		/
	/		/
	/		/
	/		/
	/		/
	/		/

Additional Comments: