Personal Information Contact Information Name Daytime Phone Number Student ID MEID College Email (MEID@maricopa.edu) Instructor Information Instructor Last Name Instructor First Name Exam Information Requesting This is my first request for this exam I have an appointment for this exam, but I would like to reschedule Course Name Exam Name - Separate appointments are required for each exam My exam is Length of Exam - Select -15min - 30min31min - 60min (1hr)61min-90min (1.5hrs)91min-120min (2hrs)121min-150min (2.5hrs)151min-180min (3hrs)181+ min (longer than 3hrs) This is the time that your instructor has allowed you to complete this exam, not the length of time it will take you to complete it. All exam materials are collected at 5:45pm Monday - Thursday. Please plan accordingly. Select Test Date: Monday - Friday Services are available Monday-Friday. Appointments are limited, and scheduled first-come, first-serve based on student requests. You are strongly encouraged to schedule your appointment as soon as possible to ensure best availability. Allow at least one full business day (24 hrs Monday-Friday) to process your request; requests submitted after 2pm on Friday will be processed no later than 5pm on the following Monday - please plan accordingly. Preferred Testing Time First Choice - Select -8:15 am - Monday - Thursday9:00 am - Monday - Thursday9:30 am - Monday - Thursday10:00 am - Monday - Friday10:30am - Monday - Friday11:00am - Monday - Friday11:30am - Monday - Friday12:00pm - Monday - Friday12:30pm - Monday - Friday1:30pm - Monday - Friday2:00pm - Monday - Friday2:30 pm - Monday - Thursday3:00 pm - Monday - Thursday3:45 pm - Monday - Thursday Second Choice - Select -8:15 am - Monday - Thursday9:00 am - Monday - Thursday9:30 am - Monday - Thursday10:00 am - Monday - Friday10:30am - Monday - Friday11:00am - Monday - Friday11:30am - Monday - Friday12:00pm - Monday - Friday12:30pm - Monday - Friday1:30pm - Monday - Friday2:00pm - Monday - Friday2:30 pm - Monday - Thursday3:00 pm - Monday - Thursday3:45 pm - Monday - Thursday Third Choice - Select -8:15 am - Monday - Thursday9:00 am - Monday - Thursday9:30 am - Monday - Thursday10:00 am - Monday - Friday10:30am - Monday - Friday11:00am - Monday - Friday11:30am - Monday - Friday12:00pm - Monday - Friday12:30pm - Monday - Friday1:30pm - Monday - Friday2:00pm - Monday - Friday2:30 pm - Monday - Thursday3:00 pm - Monday - Thursday3:45 pm - Monday - Thursday Are you registered with Disability Services and Resources (DRS) at Phoenix College? If so, please indicate your approved accommodations below: Has DRS at Phoenix College approved extended time? Yes AND my exam is longer than 2 hours Yes, but this exam is shorter than 2 hours N/A Has DRS at Phoenix College approved a private room? Yes N/A Do you need a sign language interpreter for this exam? Yes - allow at least 2 business days to schedule an interpreter N/A Policies & Procedures Policies and Procedures I understand I must allow at least one full business day (24 hours) to process my appointment request. I understand I must check in at least 5 minutes prior to my appointment; students who arrive late may be required to reschedule their appointment. I understand I must present a current, valid photo ID (state, federal or college ID) and a printed/digital copy of my appointment confirmation email when I check in for my test. I understand the last name on my photo ID and the name in my Student Center must match exactly. If they don't match I must get it corrected in Admissions prior to checking in with Testing Services. I understand that all of my personal belongings (phone, watch, backpack, etc.) must be stored in the Testing Services lockers while I am completing my exam. Electronic devices (cell phone, computer, etc.) must be turned off and stored during my exam. I understand that food/beverages are not allowed in the testing room and that I will not be allowed to take a restroom break during my examI understand that food/beverages are not allowed in the testing room and that I will not be allowed to take a restroom break during my exam I understand that children are not allowed in the testing room, nor may children (under the age of 18) be left unattended while I complete my exam I understand that it is my responsibility to know if my instructor allows resources (note cards, calculators, etc.) on my exam, if I have any questions I will contact my instructor prior to my appointment. I understand all testing is subject to video and audio recording and surveillance. By agreeing to receive services from Testing Services, testing clients are acknowledging their compliance and agreement to the policies and procedures of Testing Services. I understand that head coverings are prohibited in Testing Services; there are limited exceptions for religious or medical purposes. If this applies to me, I will inform the proctor. All head coverings may be subject to inspection. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.