This form should be completed once by a traditional course instructor for use by the Holladay Center for eLearning to schedule class tests for a single semester. Please ensure that you have verified each course, CRN, section, testing date and time, etc., for each appointment before submitting this form.

Class tests are scheduled on a first come, first served basis, AND cannot interfere with online midterms and finals.

Completing this form does NOT guarantee testing date/time. Please wait for confirmation from an eLearning staff member that the appointment(s) is confirmed.


*Please Note: Instructors are required to come with their class and remain until each student is finished testing.

Instructor's Name:

Instructor Email Address:
(Providing your email address makes it easier to contact you if eLearning has a question, AND will send you a copy of what you submitted.)

Semester (e.g."Fall 2014" or "201410"):

CRN No. No. of Students Course Title
(e.g. "NUR 2110 A")
Appt. Date Test Length
(e.g. "1.5 hrs.")
Start/End Time
(e.g. "9:00 a.m. - 10:30 a.m.")
Additional Info.
(i.e. Website Address, Password, etc.)