Exam Accommodation Request Form

***This form is for Emory College courses only***

At the instructors request, students in ECAS courses with Department of Accessibility Services (DAS) accommodations. OUE ACTS is an optional service, as instructors may choose to manage accommodations independently.

Important Notes for Instructors:

Exam requests must be made at least one (1) week in advance.
Exams must be delivered to OUE (either via email or in-person) at least 48 business hours prior to the exam date/time.
Instructors must submit this form for each exam but may do so as far in advance as they choose.
Do not schedule final exams at this time.

Tip for Instructors:
Before filling out this form, you will need to know student details such as name, Emory email, and EMPLID. This information can be found on the students' accommodation letter or in your OPUS class roster.

What happens after I submit this form?

As soon as you submit this form, an automated email will be sent to the student(s) that will allow them to sign up for a session. (You will be copied on this email.)
If a student registers for a session, an automated email confirmation will be sent to the student and the instructor.
If a student needs to reschedule, we will only reschedule exams with instructor permission, as indicated below.

If you have any questions, please email OUE ACTS at oue.testing@emory.edu.

Instructor and Course information

Instructor Name

Instructor Email

Course Number and Section

Course Title

Contact Information: Should the proctor need to contact you during the exam session with a time-sensitive question (e.g., digital exam access code issues), please provide an immediate contact method, reachable during non-business hours. If you provide a phone number, please indicate your contact method preference (i.e., call or text, or both).
Any information provided will not be directly shared with students. It is recommended that instructors monitor their communication for a few minutes after the exam session start time. If the proctor does not receive a response within 25 minutes, the student(s) will be rescheduled for another day.

Contact

Exam Instructions

How will the exam be provided to the student?

I will send the paper exam to oue.testing@emory.edu for printing

I will deliver printed exams to Candler Library, Suite 200

Student will take the exam in-person using a personal computer

Exam must be delivered to OUE (either via email or in-person) at least 48 business hours prior to the exam date/time. All hand-delivered exams must be placed inside a sealed and labeled (instructor name, course) envelope.

What is the original exam date for all students in your course?

ATTENTION: You cannot submit this form within seven (7) days of the Original Exam Date. Please contact oue.testing@emory.edu with questions.

What is the original exam time for all students in the class (e.g., 4:00 PM)?

What is the standard exam length? (OUE will calculate extended time based on student accommodation)

What materials may a student bring to or use during the exam? (If none, please type N/A)

Are there any specific instructions for the exam the proctor team should be aware of?

Student Rescheduling: Do we have your permission to allow students with legitimate scheduling conflicts to reschedule within a reasonable amount of time?
Legitimate scheduling conflicts include class, lab, or other academic events. Instructors will receive a copy of the student's Reschedule Request Form and have the ability to approve or deny any request.

Yes

No

What is the last possible date for students to take this exam (barring any exceptional circumstances)?

Exam Return: Please select how you would like to receive the completed exam:

Scan and return via email

Pick-up from Candler Library 200

Digital exam: no return needed (OUE ACTS will hold onto any scrap paper for one semester; it will be available to pick up from CL 200 upon request)

Student Information

Do you have more than five (5) students with DAS accommodations for this request?

Yes

No

Student 1

Student First Name

* Student Last Name

Student ID Number

* Student Email Address

Do you need to add another student?

Yes

No

Student 2

Student First Name

Student Last Name

Student ID Number

Student Email Address

Do you need to add another student?

Yes

No

Student 3

Student First Name

Student Last Name

Student ID Number

Student Email Address

Do you need to add another student?

Yes

No

Student 4

Student First Name

Student Last Name

Student ID Number

Student Email Address

Do you need to add another student?

Yes

No

Student 5

Student First Name

Student Last Name

Student ID Number

Student Email Address

More Than Five Students

To request accommodations for more than five (5) students in a single class, download this spreadsheet, insert student information, and email the spreadsheet to oue.testing@emory.edu.

Exam Accommodation Request Form - Fall 2025