Loyola University Maryland

Disability Support Services

Alternative Testing Form (for faculty)

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Please complete this form for the student with disability requesting testing accommodation(s).

Note: This form is not a certification of disability. The student should have provided you an accommodation letter from Disability Support Services. Also, the student should have discussed arrangements for this test prior to you completing this form.

Students should not fill out this form. Students should use the student testing form.

Faculty Information
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Testing Arrangements
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Testing Conditions for the Class
Time Allotted for Test:



(DSS will calculate extra time for students who need it. To do this, we must know the amount of time THE CLASS will have to complete the test. Check only one.)
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Approved Test Aids for the CLASS:




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Test Delivery:


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Test Return:

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