This form will submit a request to the eLearning Dept. to Allow Materials for Traditional Class testing.



Course Section Information:

Subject Area (e.g. BIO, CSC, ART, etc.):       4-digit Level Code (e.g. 1126, 2246, etc.):       Section Number (e.g. 8A, 9B, etc.):



Testing Information:

Name of Test (e.g. Test 1, Chapter 2, etc.):

Test Start Date (e.g. 01/07/13):

Test End Date (e.g. 01/14/13):

Test Length in Hours (e.g. 1, 1.5, 2, etc.):

Password:



Allowed Testing Materials:

All proctored exams are closed book/closed note. If a student is allowed to use a formula sheet or periodic table, it must be emailed before the test date to: eLearning@meridiancc.edu

Will you be allowing materials for testing? (Select appropriate response):   YES        NO

If you HAVE e-mailed allowable material, please select the appropriate box:   YES        NO



Instructor (YOUR) Information:


Instructor ID:       Instructor First Name:       Instructor Last Name:       Instructor Email Address (A copy of this submitted Form data will be sent to this email):

Instructor Digital Signature (enter your First and Last initials followed by your Birth Date as 6 digits [e.g. jd021368]):
Even though you initiated the request, the Digital Signature further confirms your concurrence with the proposed action.