Faculty Exam Request Form

Faculty member — Please fill out and submit this form to help us accommodate your testing needs.

• If this is a makeup exam request— DO NOT USE THIS FORM. Instead, please use the Makeup Exam Request Form.

• Also very IMPORTANT: Please do not put your exam password on this form. Instead send an email to delo.testing@wku.edu with the Course ID and test number in the subject line. Thanks!

NOTE: Fields marked with an asterisk "*" are required.

Instructor Information

Instructor name *
Instructor email address *
Instructor phone number *
Alternate phone number	(for emergencies during testing)
Campus office location *

Exam Information

Today’s Date
Course ID Number
Course CRN
Exam Number
Type of Exam	Online         Paper & Pencil
What dates will students be allowed to take this exam? How much time may students have to take this exam? 30 minutes 60 minutes 90 minutes 120 minutes How many students are eligible to take this exam? Number of attempts

Additional Instructions

• Please specify any items the students may have with them during this exam, such as a calculator, notes, books, etc.	Items:
Do you want to allow blank scratch paper during this exam? (Note: If the question above is not answered, we will not allow testers to have scratch paper. Our policy is to collect and destroy scratch paper when the student has completed his/her exam.)	Yes No
• Any additional instructions for the students taking this exam?	Instructions1:
• Any additional instructions for the DELO Testing Specialist?	Instructions2:

Important Info for Faculty Requesting Exams

• All students taking this exam must schedule their exam with the DELO Testing Center. Students taking exams at other proctored locations must inform the DELO Testing Center AND make a testing appointment with their chosen remote location.
• Online Exams: Password for this exam must be given to the DELO Testing Center no later than 4 days prior to the first day the students may take the exam.
• Paper/Pencil Exams: Paper exams for all students must be given to the DELO Testing Center no later than 10 business days prior to the first day the students may take the exam.
• If giving a paper exam, we will deliver your exam to you once they have all arrived or you may request to pick them up instead.
• All unused exams will be returned to the instructor unless other instructions are given.
• If you have issues or questions not covered by this form, please call the DELO Testing Specialist at (270) 745-5122 or email delo.testing@wku.edu.