Test Administration Request Form

Test Administration Request Form

testingnmsua@nmsu.edu
This form must accompany each test (electronic or paper) and must be received 5 business days prior to administration of the test.
Test/Quiz Title:
Entire Class/Student Name:
Course & Section
Test Start Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Test End Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Test Time Limit:
Please indicate whether the student is allowed to use any or all of the following:

Other
Comments about student resources allowed
Answer Format (Supplies and Scantron form must be provided by Instructor)

Other
Details for Computer Test/Web Format
Password for Web Exams:
Test/Exam Grading and Disposition Instructions:
Other Instructions/Comments:
Instructor Name:

First NameLast Name
Contact Email
example@example.com
Contact Phone:

Area CodePhone Number
Department:
Term:
Campus Name:
Campus Address Information:

Street Address

Street Address Line 2

CityState

Zip Code
Should be Empty: