Examination Request Form for Independent Learning only
Independent Learning 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 
                                                

Last Name *  First Name *  Middle Initial 

Email address *  Phone *

Address  City  State  ZIP Code 

Course ID  Course Title  Instructor

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