*Professor Name:
*Email:
*Course Name:
*Phone Number where the Professor can be reached:

Will there be an examination for this course this semester?    Yes    No
What type of exam is this request for?   Midterm     Final
 
Will you allow students to take this examination on laptop computers using Extegrity Exam 4.0 software?    Yes    No
Please select the mode you wish to use for the exam:
Closed mode - access only to exam answer window
Open Hard-drive - access to student computer hard drive
Open Internet - access to student hard drive and internet

Please provide the following information if this will be a classroom examination:
Examination Length (in hours):
Closed Book    Open Book    N/A

Please provide the following information if this will be a paper or take-home examinaton:
Take-Home    Paper    N/A
 
What date/time will students begin the paper or pick up the examination?
 
Where will students pick up the examination or instructions for the paper?
In Class    On Campus Office    Registrar's Office    Other    N/A
 
What date/time is the test or paper due?
 
Where will students submit their completed examinations or papers?
In Class    On Campus Office    Registrar's Office    Other    N/A
 
Can students mail or e-mail their papers or examinations to the Registrar's Office?
Mail    Email    N/A
 
Method of Exam Answers Delivery:
Will retrieve exam answers from Registrar's Office
Email exam answers
Adjunct Professors Only - Federal Express to the following address:
Special Requests or Comments regarding exams: