Loyola University Maryland

Disability Support Services

Alternative Testing Form (for students)

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Instructions:

  • Requests must be submitted one week in advance.
  • Speak to your instructor before submitting this form. Agree on a date and time to take the exam, remembering DSS will proctor between the starting time of 9:00 am and ending time 5:00 pm, Monday through Thursday. The ending time on Friday is 4:00 pm.
  • Please provide all information requested on this form and submit.
  • Once all information is received, a confirmation email will be sent.

If you have any questions, please contact DSS at testingrooms@loyola.edu or call 410-617-2750.

Student / Course Information
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Professor / Test Information
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By checking this box, I confirm I have discussed accommodations with the above mentioned faculty member for the test requested below. I confirm the professor has agreed to the date and time I have indicated below.
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You must provide at least four days notice in order to submit this form. If you you are trying to arrange an exam with less than four days notice, please call (410) 617-2750 during business hours. DSS will consider special circumstances but cannot guarantee that we will be able to proctor your exam in our office.
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Please choose a time slot:




If one of the above test times is not convenient, we may be able to proctor at another time, but cannot guarantee this. If you checked “other” please let us know why you cannot take the test at one of the exam time slots. Also let us know your preferred time.
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Accommodations Required:





(Check all that apply.)
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By checking this box, I confirm that I have met with and provided this faculty member with written notification of my eligibility for Disability Support Services.
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