Request to Proctor/Release of Examination
 

In compliance with Section 504 of the Rehabilitation Act of 1973, Adelphi University makes academic accommodations for students with disabilities. The Student Access Office coordinates these accommodations. Accommodations for disabilities are determined by the Office on an individual basis, according to documented need and verified by an Accommodation Card, issued by the University. Students will present the Accommodation Card when requesting special accommodations because of physical or learning disabilities.

 Click to select a date
*What type of Exam?
*Please check all that are needed:
 Reader 
 Accessible Desk 
 Scribe 
 Computer 
 Enlarged Print 
 Distraction-reduced environment 
 Extended time 
 Other 

It is the student's responsibility to inform the Office of an examination one week prior to the scheduled examination date and to submit a completed Request to Proctor form a minimum of one week prior to the scheduled examination date.

*I will not receive nor give information regarding the contents of the examination.:
 I Agree 
  {xxx-xxx-xxxx}