Examination Request Form for Independent Learning through Correspondence only
Independent Learning through Correspondence students--You must contact the Office of Independent Learning to make sure that you are eligible to take your exam before filling out and submitting this form. Use this form ONLY if you want to take your exam at the DELO Testing Center at Western Kentucky University, 107C Garrett Conference Center. If you want to take your exam at a different location, use the BACK button on your browser and choose the form for another proctored site.

You must present a valid photo ID at the testing center before being allowed to take your exam.
General Information

NOTE: The fields marked with '*' must be filled out if applicable.

Date Examination is Wanted *  TIME 
                                                 (MM-DD-YYYY)

Last Name *  First Name *  Middle Initial 

Email address *  Phone *

Address  City  State  ZIP Code 

Course ID  Course Title  Instructor

Exam Number or Name 

Are you graduating this semester?

Are you receiving financial aid this semester?


 
 
 
For more information regarding testing contact delo.testing@wku.edu
For information regarding Independent Learning thorugh Correspondence contact il@wku.edu

Form 8/24/07