Testing Center Transmittal Form

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Testing Centers

Only those exams submitted according to the approved guidelines will be processed for your students. Testing Centers must receive exams at least two working days before exams (paper and computer) will be available to students.

Instructor has read ACC Testing Center Guidelines and is aware of responsibilities and has included a copy of Student Guide for Using ACC Testing Centers in the course syllabus.

Student Deadline Date:	(Date by which student must complete test)
Semester & Year:

Instructor Name:
Home Campus:
Email:
ACC Phone:	Other Phone #
Students' Completed Tests:	To Instructor's Home Campus (Note: tests taken at home campus will NOT be mailed) Hold for Pick Up by Instructor
Return Blank Tests:	End of Semester One Year from Date Submitted (Distance Learning Courses ONLY) or Specify Date:

Course Abbreviation/Course Number:	/ Test Number and Version Number of Copies
Course Synonym(s )/ Sect. Number(s):	1) / * Required 2) / (If applicable) 3) / (If applicable) 4) / (If applicable) 5) / (If applicable)
Type of Course:	On Campus Distance Learning

Type of Test (Check all that apply):	Computer-Based (Blackboard) Paper Test Initial Test Make Up Test	Retest Challenge Exam Remove "I" Grade

Select all items that apply for STUDENTS:	Students may write on test copies. Yes No Permission slips required for initial test. Yes No Permission slips required for retest version (if submitted). Yes No Student Note Pages Allowed Number of pages allowed (3 maximum): Calculator (Specify Restriction if applicable): Other Supplemental Materials (Please Specify) Foreign Language Dictionary (Word to Word) Foreign Language Dictionary With-Definitions allowed No items are to be given to students Note: Text Books are not allowed Note: Electronic Dictionaries are not allowed
Check all items to be Supplied by TECE Staff:	Instructor Designed Answer Sheet Instructor Designed Hand Out Scratch Paper Lined Paper Graph Paper Red Scantron Item Analysis Requested (Red Scantron) Green Scantron English Dictionary Thesaurus No items are to be given to students

Additional Comments:

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