Exam accommodation request form

Before you begin to fill in this form, make sure you have:

  • student ID number
  • course title, course code, instructor, and exam date and time for each exam for which an accommodation is being requested

* Indicates required field
Please confirm if an exam accommodation may be granted for your particular exceptional circumstances prior to submitting this form.

Accommodations requested

Re-order Course title Course code Instructor name Exam date and time Weight Operations
more items
Click on the "Add" button to include additional exams

My request is based on the following circumstance

Request circumstances

I am able to provide appropriate documentation to support my request if asked

Circumstances are listed on the exam information page.

Have you previously applied for exam accommodation at Mount Allison?

If I am granted an exam accommodation, I am eligible for services provided by either The Meighen Centre or the student life office.