Faculty MAKEUP Exam Request Form

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

• 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.

Exam Information

*Instructor’s Name:
*Office Room#:
*Phone#:
*Student’s Name:
*Course CRN:
*Course ID#:
*Class Name:
*Exam/Quiz#: OR Midterm    OR    Final

*First date student may complete this exam:
*Last date student may complete this exam:
*Maximum time allotted for exam/quiz:

*Format of exam:	Online   OR   Paper
*Incomplete PAPER exams:	Shred   OR   Return to Professor   OR   Not Applicable

Student is permitted to use:

(If not marked, the testing staff will not allow students to use any of these items.)
Calculator	Yes   No	Restricted models:
Scratch Paper	Yes   No
Notes	Yes   No
Textbook	Yes   No
Handouts	Yes   No
Scantron	Yes   No
Other (please specify)

Student must return the following items to proctor:

(If not marked, the testing staff will collect everything.)
Test/Quiz	Yes
Answer Sheet/Scantron	Yes   n/a
Scratch Paper	Yes   n/a
Handouts	Yes   No   n/a
Other (please specify)

Other specific instructions?

Important Info for Faculty Requesting MAKEUP 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.