Exam Accommodation Request

Students should thoroughly read the exam accommodations page prior to filling out the Exam Accommodation Request Form, which provides important information on the exam accommodation process for all Rutgers campuses, except Rutgers Biomedical and Health Sciences schools and Rutgers Law Schools. Please contact your ODS coordinator if you have questions.

If you need to cancel or make changes to an existing request, you must contact ODS immediately. Please do not submit another request.

The deadline for New Brunswick/Piscataway campus Exam Requests has passed. Exam requests submitted at this point are considered late and may not be accepted.

Student Information

RUID or A-Number *
Legal First Name *
Preferred First Name
Last Name *
Rutgers Email Address *
Preferred Email Address
Phone Number *

Course and Accommodation Information

Campus*

Semester *

Full Academic Year 2023-2024 (Medical/Dental Students Only)

Spring 2024

Full Academic Year 2024-2025 (Medical/Dental Students Only)

Course Name * (e.g. Calculus 1)

Course Subject and Number * (e.g. 640:135, or REHB:9000K for RBHS)

Course Index Number / Course Reference Number (CRN) * (e.g. 01234)

Course Section * (e.g. 01, or 02W, etc.)

Course Type * (e.g. online/hybrid/on-campus)

Course Day/Time/Location * (enter 'online' if your class is fully online)

Type of Exam *

In-Class

Online (not scheduled for specific date or time)

Online (at a specific date/ time)

For online exams, method of exam

Canvas

Sakai

Blackboard

Other method of exam that is not listed above:

For online exams, is your class using any of the following: (can select multiple)

Lockdown Browser

ProctorTrack

Respondus

Other online software that is not listed above:

Professor #1's Name *

Professor #1's Email

Professor #1's Phone

Professor #2's Name

Professor #2's Email

Professor #2's Phone

I have submitted my Letter of Accommodation request form, and I have read and understood all of the exam policies.*

I agree

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