EXAM REQUEST FORM

Stony Brook ID#:   E-Mail:      

FirstName:      LastName:                    

Subject: Course not listed, (please use the "additional comment" field to fill in the course information AAS ACH ACP ACU ADV AFH AFL AFS AIM AMR AMS ANP ANS ANT APT ARB ARH ARS AST ATM ATS BCB BCD BCH BCP BCP BEE BES BGE BHO BHS BHT BIO BLS BMB BME BMO BMS BNB BNG BPB BSB BSE BUS CAR CBN CCS CEA CEB CEC CED CEE CEF CEG CEH CEI CEJ CEL CEM CEN CEP CEQ CER CES CET CEU CEV CEX CEY CEZ CFS CHE CHI CIV CLG CLL CLP CLS CLT CME cms CNH CNS CPE CSE CSK CSL cst cue cwl DAN DES DIA DLF DLG DLI DLL DLM DLR DLS DLT DPA EAS ECE ECM ECO EDP EDU EEL EEO EFL EGC EGL EHI EHM EMP ENP ENS ENV EOM EPP EPS ESA ESC ESE ESG ESI ESL ESM ESS EST ESU EUR EXT FAA FLA FLC FLG FLI FRN FSF FSG FSI FSY FTH GEO GER GIS GLS GRK HAA HAC HAD HAH HAL HAN HAO HAP HAS HAT HAX HAY HBA HBB HBC HBH HBI HBM HBN HBO HBP HBW HBY HCB HD HDB HDC HDE HDG HDH HDI HDM HDO HDP HDR HDS HDV HF HFA HHP HIN HIS HM HMC HMF HMH HMI HMK HMM HMO HMP HMR HNC HND HNE HNG HNH HNI HNK HNP HON HPD HPH HSC HSH HSQ HTM HTO HUE HUF HUG HUI HUL HUM HUR HUS HWC HWD HWE HWF HWG HWI HWL HWP HWS HWT HWX IAM IAP IAS ICP IDA IDC IEC IEP IIU IMB IMS INS INT IRH ISC ISE ISH ISN ISP ISS ITL ITS JAZ JDH JDS JNH JNS JPN JRN KIS KOR KRH KRS LAC LAN LAT LBR LCR LDR LDS LES LHD LHW LIA LIB LIN LIS LRN LSE MAE MAP MAR MAT MBA MCB MCR MDA MEC MES MFE MGT MSA MSC MSE MSI MSM MSP MTD MUA MUP MUS MVL NET NLN NSE NSM NTR OCN OCR OPT PAM PDR PEC PEM PEW PHI PHY PME POL POR PRO PRS PSH PSY QRS REM RLF RLI RLS ROM RSP RUS SAB SAN SBC SBN SBS SBU SCC SCH SCI SCN SEI SGE SGL SKT SLN SLS SLV SOA SOC SPD SPN SPU SSC SSE SSI SSO SUS SWE THR TMP TNT TVS ups USB USP WHU WL WNH WNS WPT WRT WSE WST YCS YDH
Course#:    Example:101
      Section#:    Example: 003

Class Start Time:    Class End Time:

Month: January February March April May June July August September October November December      Date of exam: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Semester: summer 2012 fall 2012 winter 2013 spring 2013

Time of exam: exam during class time Class right after, start exam early Alternative date/time exam, requires professor's approval Make up exam, requires professor's approval 8:30PM exam, (time and a half), start at 7:00PM 8:30PM Exam, (Double time), Start exam at 6:30PM Final exam at 8:00AM Final exam at 11:15AM (Start at 11:00AM) Final exam at 2:15PM (Start at 2:00PM) Final exam at 5:00PM, (Double time), Start exam at 4:00PM-8:45PM Final Exam at 5:00PM, (Time and one Half), start at 5:00PM-8:45PM Final exam at 8:15, (Double Time), start at 4:00PM-9:00PM Final Exam at 8:15, (Time and one Half), start at 5:00PM-8:45PM

Alternate Time:

accommodation requested: extended Time Double time Distraction Reduced

                                           Scribe Reader/digital Computer Other Equipment

Describe Other accommodation:

Additional comments:

Enter the details for exam #2

Subject: Course not listed, (please use the "additional comment" field to fill in the course information AAS ACH ACP ACU ADV AFH AFL AFS AIM AMR AMS ANP ANS ANT APT ARB ARH ARS AST ATM ATS BCB BCD BCH BCP BCP BEE BES BGE BHO BHS BHT BIO BLS BMB BME BMO BMS BNB BNG BPB BSB BSE BUS CAR CBN CCS CEA CEB CEC CED CEE CEF CEG CEH CEI CEJ CEL CEM CEN CEP CEQ CER CES CET CEU CEV CEX CEY CEZ CFS CHE CHI CIV CLG CLL CLP CLS CLT CME cms CNH CNS CPE CSE CSK CSL cst cue cwl DAN DES DIA DLF DLG DLI DLL DLM DLR DLS DLT DPA EAS ECE ECM ECO EDP EDU EEL EEO EFL EGC EGL EHI EHM EMP ENP ENS ENV EOM EPP EPS ESA ESC ESE ESG ESI ESL ESM ESS EST ESU EUR EXT FAA FLA FLC FLG FLI FRN FSF FSG FSI FSY FTH GEO GER GIS GLS GRK HAA HAC HAD HAH HAL HAN HAO HAP HAS HAT HAX HAY HBA HBB HBC HBH HBI HBM HBN HBO HBP HBW HBY HCB HD HDB HDC HDE HDG HDH HDI HDM HDO HDP HDR HDS HDV HF HFA HHP HIN HIS HM HMC HMF HMH HMI HMK HMM HMO HMP HMR HNC HND HNE HNG HNH HNI HNK HNP HON HPD HPH HSC HSH HSQ HTM HTO HUE HUF HUG HUI HUL HUM HUR HUS HWC HWD HWE HWF HWG HWI HWL HWP HWS HWT HWX IAM IAP IAS ICP IDA IDC IEC IEP IIU IMB IMS INS INT IRH ISC ISE ISH ISN ISP ISS ITL ITS JAZ JDH JDS JNH JNS JPN JRN KIS KOR KRH KRS LAC LAN LAT LBR LCR LDR LDS LES LHD LHW LIA LIB LIN LIS LRN LSE MAE MAP MAR MAT MBA MCB MCR MDA MEC MES MFE MGT MSA MSC MSE MSI MSM MSP MTD MUA MUP MUS MVL NET NLN NSE NSM NTR OCN OCR OPT PAM PDR PEC PEM PEW PHI PHY PME POL POR PRO PRS PSH PSY QRS REM RLF RLI RLS ROM RSP RUS SAB SAN SBC SBN SBS SBU SCC SCH SCI SCN SEI SGE SGL SKT SLN SLS SLV SOA SOC SPD SPN SPU SSC SSE SSI SSO SUS SWE THR TMP TNT TVS ups USB USP WHU WL WNH WNS WPT WRT WSE WST YCS YDH
Course#:    Example:101
      Section#:    Example: 003

Class Start Time:    Class End Time:

Month: January February March April May June July August September October November December      Date of exam: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Semester: summer 2012 fall 2012 winter 2013 spring 2013

Time of exam: exam during class time Class right after, start exam early Alternative date/time exam, requires professor's approval Make up exam, requires professor's approval 8:30PM exam, (time and a half), start at 7:00PM 8:30PM Exam, (Double time), Start exam at 6:30PM Final exam at 8:00AM Final exam at 11:15AM (Start at 11:00AM) Final exam at 2:15PM (Start at 2:00PM) Final exam at 5:00PM, (Double time), Start exam at 4:00PM-8:45PM Final Exam at 5:00PM, (Time and one Half), start at 5:00PM-8:45PM Final exam at 8:15, (Double Time), start at 4:00PM-9:00PM Final Exam at 8:15, (Time and one Half), start at 5:00PM-8:45PM

Alternate Time:

accommodation requested: extended Time Double time Distraction Reduced

                                           Scribe Reader/digital Computer Other Equipment

Describe Other accommodation:

Additional comments:

Enter the details for exam #3

Subject: Course not listed, (please use the "additional comment" field to fill in the course information AAS ACH ACP ACU ADV AFH AFL AFS AIM AMR AMS ANP ANS ANT APT ARB ARH ARS AST ATM ATS BCB BCD BCH BCP BCP BEE BES BGE BHO BHS BHT BIO BLS BMB BME BMO BMS BNB BNG BPB BSB BSE BUS CAR CBN CCS CEA CEB CEC CED CEE CEF CEG CEH CEI CEJ CEL CEM CEN CEP CEQ CER CES CET CEU CEV CEX CEY CEZ CFS CHE CHI CIV CLG CLL CLP CLS CLT CME cms CNH CNS CPE CSE CSK CSL cst cue cwl DAN DES DIA DLF DLG DLI DLL DLM DLR DLS DLT DPA EAS ECE ECM ECO EDP EDU EEL EEO EFL EGC EGL EHI EHM EMP ENP ENS ENV EOM EPP EPS ESA ESC ESE ESG ESI ESL ESM ESS EST ESU EUR EXT FAA FLA FLC FLG FLI FRN FSF FSG FSI FSY FTH GEO GER GIS GLS GRK HAA HAC HAD HAH HAL HAN HAO HAP HAS HAT HAX HAY HBA HBB HBC HBH HBI HBM HBN HBO HBP HBW HBY HCB HD HDB HDC HDE HDG HDH HDI HDM HDO HDP HDR HDS HDV HF HFA HHP HIN HIS HM HMC HMF HMH HMI HMK HMM HMO HMP HMR HNC HND HNE HNG HNH HNI HNK HNP HON HPD HPH HSC HSH HSQ HTM HTO HUE HUF HUG HUI HUL HUM HUR HUS HWC HWD HWE HWF HWG HWI HWL HWP HWS HWT HWX IAM IAP IAS ICP IDA IDC IEC IEP IIU IMB IMS INS INT IRH ISC ISE ISH ISN ISP ISS ITL ITS JAZ JDH JDS JNH JNS JPN JRN KIS KOR KRH KRS LAC LAN LAT LBR LCR LDR LDS LES LHD LHW LIA LIB LIN LIS LRN LSE MAE MAP MAR MAT MBA MCB MCR MDA MEC MES MFE MGT MSA MSC MSE MSI MSM MSP MTD MUA MUP MUS MVL NET NLN NSE NSM NTR OCN OCR OPT PAM PDR PEC PEM PEW PHI PHY PME POL POR PRO PRS PSH PSY QRS REM RLF RLI RLS ROM RSP RUS SAB SAN SBC SBN SBS SBU SCC SCH SCI SCN SEI SGE SGL SKT SLN SLS SLV SOA SOC SPD SPN SPU SSC SSE SSI SSO SUS SWE THR TMP TNT TVS ups USB USP WHU WL WNH WNS WPT WRT WSE WST YCS YDH
Course#:    Example:101
      Section#:    Example: 003

Class Start Time:    Class End Time:

Month: January February March April May June July August September October November December      Date of exam: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Semester: summer 2012 fall 2012 winter 2013 spring 2013

Time of exam: exam during class time Class right after, start exam early Alternative date/time exam, requires professor's approval Make up exam, requires professor's approval 8:30PM exam, (time and a half), start at 7:00PM 8:30PM Exam, (Double time), Start exam at 6:30PM Final exam at 8:00AM Final exam at 11:15AM (Start at 11:00AM) Final exam at 2:15PM (Start at 2:00PM) Final exam at 5:00PM, (Double time), Start exam at 4:00PM-8:45PM Final Exam at 5:00PM, (Time and one Half), start at 5:00PM-8:45PM Final exam at 8:15, (Double Time), start at 4:00PM-9:00PM Final Exam at 8:15, (Time and one Half), start at 5:00PM-8:45PM

Alternate Time:

accommodation requested: extended Time Double time Distraction Reduced

                                           Scribe Reader/digital Computer Other Equipment

Describe Other accommodation:

Additional comments:

Enter the details for exam #4

Subject: Course not listed, (please use the "additional comment" field to fill in the course information AAS ACH ACP ACU ADV AFH AFL AFS AIM AMR AMS ANP ANS ANT APT ARB ARH ARS AST ATM ATS BCB BCD BCH BCP BCP BEE BES BGE BHO BHS BHT BIO BLS BMB BME BMO BMS BNB BNG BPB BSB BSE BUS CAR CBN CCS CEA CEB CEC CED CEE CEF CEG CEH CEI CEJ CEL CEM CEN CEP CEQ CER CES CET CEU CEV CEX CEY CEZ CFS CHE CHI CIV CLG CLL CLP CLS CLT CME cms CNH CNS CPE CSE CSK CSL cst cue cwl DAN DES DIA DLF DLG DLI DLL DLM DLR DLS DLT DPA EAS ECE ECM ECO EDP EDU EEL EEO EFL EGC EGL EHI EHM EMP ENP ENS ENV EOM EPP EPS ESA ESC ESE ESG ESI ESL ESM ESS EST ESU EUR EXT FAA FLA FLC FLG FLI FRN FSF FSG FSI FSY FTH GEO GER GIS GLS GRK HAA HAC HAD HAH HAL HAN HAO HAP HAS HAT HAX HAY HBA HBB HBC HBH HBI HBM HBN HBO HBP HBW HBY HCB HD HDB HDC HDE HDG HDH HDI HDM HDO HDP HDR HDS HDV HF HFA HHP HIN HIS HM HMC HMF HMH HMI HMK HMM HMO HMP HMR HNC HND HNE HNG HNH HNI HNK HNP HON HPD HPH HSC HSH HSQ HTM HTO HUE HUF HUG HUI HUL HUM HUR HUS HWC HWD HWE HWF HWG HWI HWL HWP HWS HWT HWX IAM IAP IAS ICP IDA IDC IEC IEP IIU IMB IMS INS INT IRH ISC ISE ISH ISN ISP ISS ITL ITS JAZ JDH JDS JNH JNS JPN JRN KIS KOR KRH KRS LAC LAN LAT LBR LCR LDR LDS LES LHD LHW LIA LIB LIN LIS LRN LSE MAE MAP MAR MAT MBA MCB MCR MDA MEC MES MFE MGT MSA MSC MSE MSI MSM MSP MTD MUA MUP MUS MVL NET NLN NSE NSM NTR OCN OCR OPT PAM PDR PEC PEM PEW PHI PHY PME POL POR PRO PRS PSH PSY QRS REM RLF RLI RLS ROM RSP RUS SAB SAN SBC SBN SBS SBU SCC SCH SCI SCN SEI SGE SGL SKT SLN SLS SLV SOA SOC SPD SPN SPU SSC SSE SSI SSO SUS SWE THR TMP TNT TVS ups USB USP WHU WL WNH WNS WPT WRT WSE WST YCS YDH
Course#:    Example:101
      Section#:    Example: 003

Class Start Time:    Class End Time:

Month: January February March April May June July August September October November December      Date of exam: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Semester: summer 2012 fall 2012 winter 2013 spring 2013

Time of exam: exam during class time Class right after, start exam early Alternative date/time exam, requires professor's approval Make up exam, requires professor's approval 8:30PM exam, (time and a half), start at 7:00PM 8:30PM Exam, (Double time), Start exam at 6:30PM Final exam at 8:00AM Final exam at 11:15AM (Start at 11:00AM) Final exam at 2:15PM (Start at 2:00PM) Final exam at 5:00PM, (Double time), Start exam at 4:00PM-8:45PM Final Exam at 5:00PM, (Time and one Half), start at 5:00PM-8:45PM Final exam at 8:15, (Double Time), start at 4:00PM-9:00PM Final Exam at 8:15, (Time and one Half), start at 5:00PM-8:45PM

Alternate Time:

accommodation requested: extended Time Double time Distraction Reduced

                                           Scribe Reader/digital Computer Other Equipment

Describe Other accommodation:

Additional comments:

Enter the details for exam #5

Subject: Course not listed, (please use the "additional comment" field to fill in the course information AAS ACH ACP ACU ADV AFH AFL AFS AIM AMR AMS ANP ANS ANT APT ARB ARH ARS AST ATM ATS BCB BCD BCH BCP BCP BEE BES BGE BHO BHS BHT BIO BLS BMB BME BMO BMS BNB BNG BPB BSB BSE BUS CAR CBN CCS CEA CEB CEC CED CEE CEF CEG CEH CEI CEJ CEL CEM CEN CEP CEQ CER CES CET CEU CEV CEX CEY CEZ CFS CHE CHI CIV CLG CLL CLP CLS CLT CME cms CNH CNS CPE CSE CSK CSL cst cue cwl DAN DES DIA DLF DLG DLI DLL DLM DLR DLS DLT DPA EAS ECE ECM ECO EDP EDU EEL EEO EFL EGC EGL EHI EHM EMP ENP ENS ENV EOM EPP EPS ESA ESC ESE ESG ESI ESL ESM ESS EST ESU EUR EXT FAA FLA FLC FLG FLI FRN FSF FSG FSI FSY FTH GEO GER GIS GLS GRK HAA HAC HAD HAH HAL HAN HAO HAP HAS HAT HAX HAY HBA HBB HBC HBH HBI HBM HBN HBO HBP HBW HBY HCB HD HDB HDC HDE HDG HDH HDI HDM HDO HDP HDR HDS HDV HF HFA HHP HIN HIS HM HMC HMF HMH HMI HMK HMM HMO HMP HMR HNC HND HNE HNG HNH HNI HNK HNP HON HPD HPH HSC HSH HSQ HTM HTO HUE HUF HUG HUI HUL HUM HUR HUS HWC HWD HWE HWF HWG HWI HWL HWP HWS HWT HWX IAM IAP IAS ICP IDA IDC IEC IEP IIU IMB IMS INS INT IRH ISC ISE ISH ISN ISP ISS ITL ITS JAZ JDH JDS JNH JNS JPN JRN KIS KOR KRH KRS LAC LAN LAT LBR LCR LDR LDS LES LHD LHW LIA LIB LIN LIS LRN LSE MAE MAP MAR MAT MBA MCB MCR MDA MEC MES MFE MGT MSA MSC MSE MSI MSM MSP MTD MUA MUP MUS MVL NET NLN NSE NSM NTR OCN OCR OPT PAM PDR PEC PEM PEW PHI PHY PME POL POR PRO PRS PSH PSY QRS REM RLF RLI RLS ROM RSP RUS SAB SAN SBC SBN SBS SBU SCC SCH SCI SCN SEI SGE SGL SKT SLN SLS SLV SOA SOC SPD SPN SPU SSC SSE SSI SSO SUS SWE THR TMP TNT TVS ups USB USP WHU WL WNH WNS WPT WRT WSE WST YCS YDH
Course#:    Example:101
      Section#:    Example: 003

Class Start Time:    Class End Time:

Month: January February March April May June July August September October November December      Date of exam: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Semester: summer 2012 fall 2012 winter 2013 spring 2013

Time of exam: exam during class time Class right after, start exam early Alternative date/time exam, requires professor's approval Make up exam, requires professor's approval 8:30PM exam, (time and a half), start at 7:00PM 8:30PM Exam, (Double time), Start exam at 6:30PM Final exam at 8:00AM Final exam at 11:15AM (Start at 11:00AM) Final exam at 2:15PM (Start at 2:00PM) Final exam at 5:00PM, (Double time), Start exam at 4:00PM-8:45PM Final Exam at 5:00PM, (Time and one Half), start at 5:00PM-8:45PM Final exam at 8:15, (Double Time), start at 4:00PM-9:00PM Final Exam at 8:15, (Time and one Half), start at 5:00PM-8:45PM

Alternate Time:

accommodation requested: extended Time Double time Distraction Reduced

                                           Scribe Reader/digital Computer Other Equipment

Describe Other accommodation:

Additional comments:

Enter the details for exam #6

Course#:   

Subject: Course not listed, (please use the "additional comment" field to fill in the course information AAS ACH ACP ACU ADV AFH AFL AFS AIM AMR AMS ANP ANS ANT APT ARB ARH ARS AST ATM ATS BCB BCD BCH BCP BCP BEE BES BGE BHO BHS BHT BIO BLS BMB BME BMO BMS BNB BNG BPB BSB BSE BUS CAR CBN CCS CEA CEB CEC CED CEE CEF CEG CEH CEI CEJ CEL CEM CEN CEP CEQ CER CES CET CEU CEV CEX CEY CEZ CFS CHE CHI CIV CLG CLL CLP CLS CLT CME cms CNH CNS CPE CSE CSK CSL cst cue cwl DAN DES DIA DLF DLG DLI DLL DLM DLR DLS DLT DPA EAS ECE ECM ECO EDP EDU EEL EEO EFL EGC EGL EHI EHM EMP ENP ENS ENV EOM EPP EPS ESA ESC ESE ESG ESI ESL ESM ESS EST ESU EUR EXT FAA FLA FLC FLG FLI FRN FSF FSG FSI FSY FTH GEO GER GIS GLS GRK HAA HAC HAD HAH HAL HAN HAO HAP HAS HAT HAX HAY HBA HBB HBC HBH HBI HBM HBN HBO HBP HBW HBY HCB HD HDB HDC HDE HDG HDH HDI HDM HDO HDP HDR HDS HDV HF HFA HHP HIN HIS HM HMC HMF HMH HMI HMK HMM HMO HMP HMR HNC HND HNE HNG HNH HNI HNK HNP HON HPD HPH HSC HSH HSQ HTM HTO HUE HUF HUG HUI HUL HUM HUR HUS HWC HWD HWE HWF HWG HWI HWL HWP HWS HWT HWX IAM IAP IAS ICP IDA IDC IEC IEP IIU IMB IMS INS INT IRH ISC ISE ISH ISN ISP ISS ITL ITS JAZ JDH JDS JNH JNS JPN JRN KIS KOR KRH KRS LAC LAN LAT LBR LCR LDR LDS LES LHD LHW LIA LIB LIN LIS LRN LSE MAE MAP MAR MAT MBA MCB MCR MDA MEC MES MFE MGT MSA MSC MSE MSI MSM MSP MTD MUA MUP MUS MVL NET NLN NSE NSM NTR OCN OCR OPT PAM PDR PEC PEM PEW PHI PHY PME POL POR PRO PRS PSH PSY QRS REM RLF RLI RLS ROM RSP RUS SAB SAN SBC SBN SBS SBU SCC SCH SCI SCN SEI SGE SGL SKT SLN SLS SLV SOA SOC SPD SPN SPU SSC SSE SSI SSO SUS SWE THR TMP TNT TVS ups USB USP WHU WL WNH WNS WPT WRT WSE WST YCS YDH
Course#:    Example:101
      Section#:    Example: 003

Class Start Time:    Class End Time:

Month: January February March April May June July August September October November December      Date of exam: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Semester: summer 2012 fall 2012 winter 2013 spring 2013

Time of exam: exam during class time Class right after, start exam early Alternative date/time exam, requires professor's approval Make up exam, requires professor's approval 8:30PM exam, (time and a half), start at 7:00PM 8:30PM Exam, (Double time), Start exam at 6:30PM Final exam at 8:00AM Final exam at 11:15AM (Start at 11:00AM) Final exam at 2:15PM (Start at 2:00PM) Final exam at 5:00PM, (Double time), Start exam at 4:00PM-8:45PM Final Exam at 5:00PM, (Time and one Half), start at 5:00PM-8:45PM Final exam at 8:15, (Double Time), start at 4:00PM-9:00PM Final Exam at 8:15, (Time and one Half), start at 5:00PM-8:45PM

Alternate Time:

accommodation requested: extended Time Double time Distraction Reduced

                                           Scribe Reader/digital Computer Other Equipment

Describe Other accommodation:

Additional comments: