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Test Accommodation Request

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Contact Center for Accessibility Resources by phone (651-793-1549) or email with questions or to request this form in an alternative format.

Personal Information

First Name

Last Name

Email Address

Metro State Tech ID

Mobile Phone Number

Preferred contact method

Preferred contact method

Phone

Email

Where do you want to take your test?

Where do you want to take your test?

Saint Paul CAR NM L223 - All Accommodations

Century

Inver Hills

Normandale Community

Anoka-Ramsey

North Hennepin

Dakota

Exam Information

Course title

Course section

Instructor name

Instructor email address

Exam name

What date would you like to take the exam?

Time requesting to take the exam

What type of exam is it? (check one)

What type of exam is it? (check one)

ATI

ATI - Retake

D2L

Final

Mid-Term

Quiz

Other

Other

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