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Continuous Intake Course Exam Request Form (Finishing)

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Please give us your details.
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Course Information
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Please confirm the exam or test you are requesting to write (E.g.  Midterm/Final/Test One/Test Two) 
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Are you registered with Accessible Learning Services?
If yes, please confirm for us the accommodations you are requesting for this exam/test/midterm (extra time, private space, reader, etc)
Is there any additional information you would like to provide?