MAKE-UP EXAM FORM

FACULTY MEMBERS PLEASE FILL OUT THIS FORM FOR MAKEUP EXAMS:

Student's Name:
Course ID:

Test #:
What dates will the student be allowed to take this makeup exam?
How much time may the student have to take this exam?
Number of Attempts:
Instructor's Name:
Please specify any items the students may have with them during this exam: ie: calculator, notes, books, etc.
Additional instructions for the student taking this exam: 
Additional instructions for the DELO Testing Specialist? 

If you have issues or questions not covered by this form please call the DELO Testing Specialist at 745-5122 or email:delo.testing@wku.edu.