{"id":5056,"date":"2025-07-24T16:26:18","date_gmt":"2025-07-24T21:26:18","guid":{"rendered":"https:\/\/www.eastcentral.edu\/learning-center\/?page_id=5056"},"modified":"2025-07-24T16:26:18","modified_gmt":"2025-07-24T21:26:18","slug":"schedule-a-test-with-accommodations","status":"publish","type":"page","link":"https:\/\/www.eastcentral.edu\/learning-center\/schedule-a-test-with-accommodations\/","title":{"rendered":"Schedule a Test with Accommodations"},"content":{"rendered":"<div id=\"quform-0317fd\" class=\"quform quform-24 quform-theme-light quform-support-page-caching\"><form id=\"quform-form-0317fd\" class=\"quform-form quform-form-24\" action=\"\/learning-center\/wp-json\/wp\/v2\/pages\/5056#quform-0317fd\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:24,&quot;uniqueId&quot;:&quot;0317fd&quot;,&quot;theme&quot;:&quot;light&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:[],&quot;dependents&quot;:[],&quot;elementIds&quot;:[],&quot;dependentElementIds&quot;:[],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[1],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-24\"><input type=\"hidden\" name=\"quform_form_id\" value=\"24\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"0317fd\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/pages\/5056\" \/><input type=\"hidden\" name=\"referring_url\" value=\"https:\/\/www.eastcentral.edu\/\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_loaded\" value=\"1782600628|52567a73a2dbcc20af54a524938af0ba\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"BqF1cgRt752oJ4PO2gouJhB7Wl3MMmpgLhJXt7MP\" \/><div class=\"quform-form-title-description\"><h2 class=\"quform-form-title\">Schedule a Test<\/h2><p class=\"quform-form-description\">Please complete this form to schedule an ÌÇÐÄvlog¹ÙÍø exam with accommodations. <\/p><\/div><div class=\"quform-elements quform-elements-24 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-1 quform-page-24_1 quform-cf quform-group-style-bordered quform-first-page quform-last-page quform-current-page\"><div class=\"quform-page-title-description\"><p class=\"quform-page-description\">1. Requests require at least 48 hours\u2019 notice\u2014day-before requests will not be accepted.  \n2. You must arrive on time, as late arrival will reduce your extended time. \n3. If you are more than 30 minutes late, you will need to reschedule.<\/p><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-name quform-element-24_3 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_3\"><span class=\"quform-label-icon\"><i class=\"fa fa-user\"><\/i><\/span><label class=\"quform-label-text\" id=\"quform_24_3_0317fd_label\">Name:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-name quform-inner-24_3\"><div class=\"quform-input quform-input-name quform-input-24_3 quform-cf\"><div class=\"quform-element-row quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-24_3_2 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-24_3_2\"><div class=\"quform-input quform-input-text quform-input-24_3_2 quform-cf\"><input type=\"text\" id=\"quform_24_3_2_0317fd\" name=\"quform_24_3[2]\" class=\"quform-field quform-field-text quform-field-24_3_2\" aria-labelledby=\"quform_24_3_0317fd_label quform_24_3_2_0317fd_sub_label_below\" \/><\/div><label id=\"quform_24_3_2_0317fd_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">First<\/label><\/div><\/div><\/div><\/div><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-24_3_4 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-24_3_4\"><div class=\"quform-input quform-input-text quform-input-24_3_4 quform-cf\"><input type=\"text\" id=\"quform_24_3_4_0317fd\" name=\"quform_24_3[4]\" class=\"quform-field quform-field-text quform-field-24_3_4\" aria-labelledby=\"quform_24_3_0317fd_label quform_24_3_4_0317fd_sub_label_below\" \/><\/div><label id=\"quform_24_3_4_0317fd_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Last<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-24_4 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_4\"><span class=\"quform-label-icon\"><i class=\"fa fa-credit-card\"><\/i><\/span><label class=\"quform-label-text\" for=\"quform_24_4_0317fd\">Student ID:<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-24_4\"><div class=\"quform-input quform-input-text quform-input-24_4 quform-cf\"><input type=\"text\" id=\"quform_24_4_0317fd\" name=\"quform_24_4\" class=\"quform-field quform-field-text quform-field-24_4\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-24_469118 quform-sr-only quform-cf\" style=\"clip: rect(1px, 1px, 1px, 1px); clip-path: inset(50%); position: absolute !important; height: 1px; width: 1px; overflow: hidden;\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_469118\"><label class=\"quform-label-text\" for=\"quform_24_469118_0317fd\">Company Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-24_469118\"><textarea id=\"quform_24_469118_0317fd\" name=\"quform_24_469118\" class=\"quform-field quform-field-textarea quform-field-24_469118\" tabindex=\"-1\" autocomplete=\"new-password\"><\/textarea><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-24_5 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_5\"><span class=\"quform-label-icon\"><i class=\"fa fa-phone\"><\/i><\/span><label class=\"quform-label-text\" for=\"quform_24_5_0317fd\">Phone Number:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-24_5\"><div class=\"quform-input quform-input-text quform-input-24_5 quform-cf\"><input type=\"text\" id=\"quform_24_5_0317fd\" name=\"quform_24_5\" class=\"quform-field quform-field-text quform-field-24_5\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-24_6 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_6\"><span class=\"quform-label-icon\"><i class=\"fa fa-envelope\"><\/i><\/span><label class=\"quform-label-text\" for=\"quform_24_6_0317fd\">Student email address:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-24_6\"><div class=\"quform-input quform-input-email quform-input-24_6 quform-cf\"><input type=\"email\" id=\"quform_24_6_0317fd\" name=\"quform_24_6\" class=\"quform-field quform-field-email quform-field-24_6\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-24_7 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_7\"><label class=\"quform-label-text\" for=\"quform_24_7_0317fd\">Instructor's name:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-24_7\"><div class=\"quform-input quform-input-text quform-input-24_7 quform-cf\"><input type=\"text\" id=\"quform_24_7_0317fd\" name=\"quform_24_7\" class=\"quform-field quform-field-text quform-field-24_7\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-24_8 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_8\"><label class=\"quform-label-text\" for=\"quform_24_8_0317fd\">Course name:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-24_8\"><div class=\"quform-input quform-input-text quform-input-24_8 quform-cf\"><input type=\"text\" id=\"quform_24_8_0317fd\" name=\"quform_24_8\" class=\"quform-field quform-field-text quform-field-24_8\" \/><\/div><p class=\"quform-description quform-description-below\">(e.g. Fundamentals of Math, English Comp 1, General Biology, Intro to Chemistry, ENG 101, MTH 110) <\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-24_9 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_9\"><label class=\"quform-label-text\" for=\"quform_24_9_0317fd\">Exam name or number:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-24_9\"><div class=\"quform-input quform-input-text quform-input-24_9 quform-cf\"><input type=\"text\" id=\"quform_24_9_0317fd\" name=\"quform_24_9\" class=\"quform-field quform-field-text quform-field-24_9\" \/><\/div><p class=\"quform-description quform-description-below\">(e.g. Quiz #4, Unit exam 2, etc.)<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-24_11 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_11\"><label class=\"quform-label-text\" id=\"quform_24_11_0317fd_label\">Which campus will you be taking your exam?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-24_11\"><div class=\"quform-input quform-input-radio quform-input-24_11 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_24_11_0317fd_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_24_11\" id=\"quform_24_11_0317fd_1\" class=\"quform-field quform-field-radio quform-field-24_11 quform-field-24_11_1\" value=\"Union\" \/><label for=\"quform_24_11_0317fd_1\" class=\"quform-option-label quform-option-label-24_11_1\"><span class=\"quform-option-text\">Union<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_24_11\" id=\"quform_24_11_0317fd_2\" class=\"quform-field quform-field-radio quform-field-24_11 quform-field-24_11_2\" value=\"Rolla\" \/><label for=\"quform_24_11_0317fd_2\" class=\"quform-option-label quform-option-label-24_11_2\"><span class=\"quform-option-text\">Rolla<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-24_12 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_12\"><span class=\"quform-label-icon\"><i class=\"fa fa-calendar\"><\/i><\/span><label class=\"quform-label-text\" for=\"quform_24_12_0317fd\">Date you need or would like to take your exam:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-24_12\"><div class=\"quform-input quform-input-date quform-input-24_12 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_24_12_0317fd\" name=\"quform_24_12\" class=\"quform-field quform-field-date quform-field-24_12\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;en-US&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;24_12&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><p class=\"quform-description quform-description-below\">(Please remember that we require at least 48 hours' notice to schedule an exam.)<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-time quform-element-24_13 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_13\"><span class=\"quform-label-icon\"><i class=\"fa fa-clock-o\"><\/i><\/span><label class=\"quform-label-text\" for=\"quform_24_13_0317fd\">Time you need or would like to take your exam:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-time quform-inner-24_13\"><div class=\"quform-input quform-input-time quform-input-24_13 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_24_13_0317fd\" name=\"quform_24_13\" class=\"quform-field quform-field-time quform-field-24_13\" placeholder=\"HH:MM\" data-options=\"{&quot;min&quot;:&quot;08:00&quot;,&quot;max&quot;:&quot;15:30&quot;,&quot;interval&quot;:&quot;30&quot;,&quot;locale&quot;:&quot;en-US&quot;,&quot;format&quot;:&quot;&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;24_13&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-schedule\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-24_17 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_17\"><label class=\"quform-label-text\" for=\"quform_24_17_0317fd\">What other date and time would work for you?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-24_17\"><div class=\"quform-input quform-input-text quform-input-24_17 quform-cf\"><input type=\"text\" id=\"quform_24_17_0317fd\" name=\"quform_24_17\" class=\"quform-field quform-field-text quform-field-24_17\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-24_20 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_20\"><label class=\"quform-label-text\" id=\"quform_24_20_0317fd_label\">Check the accommodations you need for this exam:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-checkbox quform-inner-24_20\"><label id=\"quform_24_20_0317fd_sub_label_above\" class=\"quform-sub-label quform-sub-label-above\">(check all that apply)<\/label><div class=\"quform-input quform-input-checkbox quform-input-24_20 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"group\" aria-labelledby=\"quform_24_20_0317fd_label\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_24_20[]\" id=\"quform_24_20_0317fd_1\" class=\"quform-field quform-field-checkbox quform-field-24_20 quform-field-24_20_1\" value=\"Private room\" \/><label for=\"quform_24_20_0317fd_1\" class=\"quform-option-label quform-option-label-24_20_1\"><span class=\"quform-option-text\">Private room<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_24_20[]\" id=\"quform_24_20_0317fd_2\" class=\"quform-field quform-field-checkbox quform-field-24_20 quform-field-24_20_2\" value=\"Reader (human)\" \/><label for=\"quform_24_20_0317fd_2\" class=\"quform-option-label quform-option-label-24_20_2\"><span class=\"quform-option-text\">Reader (human)<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_24_20[]\" id=\"quform_24_20_0317fd_3\" class=\"quform-field quform-field-checkbox quform-field-24_20 quform-field-24_20_3\" value=\"Scribe\" \/><label for=\"quform_24_20_0317fd_3\" class=\"quform-option-label quform-option-label-24_20_3\"><span class=\"quform-option-text\">Scribe<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_24_20[]\" id=\"quform_24_20_0317fd_5\" class=\"quform-field quform-field-checkbox quform-field-24_20 quform-field-24_20_5\" value=\"Assistive Technology (e.g. screen reader)\" \/><label for=\"quform_24_20_0317fd_5\" class=\"quform-option-label quform-option-label-24_20_5\"><span class=\"quform-option-text\">Assistive Technology (e.g. screen reader)<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-24_22 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-checkbox quform-inner-24_22\"><div class=\"quform-input quform-input-checkbox quform-input-24_22 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_24_22[]\" id=\"quform_24_22_0317fd_4\" class=\"quform-field quform-field-checkbox quform-field-24_22 quform-field-24_22_4\" value=\"By checking this box, I understand that I can only request the accommodations that I have been granted by Access Services. \" \/><label for=\"quform_24_22_0317fd_4\" class=\"quform-option-label quform-option-label-24_22_4\"><span class=\"quform-option-text\">By checking this box, I understand that I can only request the accommodations that I have been granted by Access Services. <\/span><\/label><\/div><\/div><\/div><p class=\"quform-description quform-description-below\">(If you need additional accommodations, please contact your Access Coordinator at wellness@eastcentral.edu)<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-24_21 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-24_21\"><label class=\"quform-label-text\" for=\"quform_24_21_0317fd\">What other details do we need to know about this exam?<\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-24_21\"><label id=\"quform_24_21_0317fd_sub_label_above\" class=\"quform-sub-label quform-sub-label-above\">(e.g. I am allowed to use a scientific calculator, or I get one sheet of notes, etc.)<\/label><div class=\"quform-input quform-input-textarea quform-input-24_21 quform-cf\"><textarea id=\"quform_24_21_0317fd\" name=\"quform_24_21\" class=\"quform-field quform-field-textarea quform-field-24_21\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-24_2 quform-cf quform-button-style-theme\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-24_2\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Submit<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/form><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","footnotes":""},"yst_prominent_words":[],"class_list":["post-5056","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/pages\/5056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/comments?post=5056"}],"version-history":[{"count":1,"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/pages\/5056\/revisions"}],"predecessor-version":[{"id":5057,"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/pages\/5056\/revisions\/5057"}],"wp:attachment":[{"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/media?parent=5056"}],"wp:term":[{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/www.eastcentral.edu\/learning-center\/wp-json\/wp\/v2\/yst_prominent_words?post=5056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}