Class Testing for CCD Students with Accommodations

Thank you for taking a few moments to complete this request form for class testing with accommodations. Your appointment request is not scheduled until you receive an appointment confirmation in your CCD Connect student email. Any requests submitted on the weekends or after business hours are processed the next working day.

Please contact the Accessibility Center with questions or concerns regarding this process 303.556.3300.

Student Information

Student's Full Name *

CCD Student ID Number * S

Phone Number *

Student School Email Address (not personal email) *

Course Information

Course Number *

What is your Instructor's last name? *

Test Name / Number *

(ex. MAT 135, BIO 111)

Test Type *

Accommodation Request

You must renew your accommodations at the beginning of each semester before submitting this appointment request.

Please call 303.556.3300 or stop by Confluence 121 to renew your accommodations.

Desired Appointment Date *

Month

Day

Year

Desired Appointment Time *

Hour

Minute

Additional Information or Comments

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Class Testing for CCD Students with Accommodations

Student Information

Course Information

Accommodation Request