Remote Test Request

Remote Test Request

This form is used for students who are not attending high school due to COVID-19 conditions and do not feel comfortable in our test centres. It will have to be approved by Delta Access administration prior to teacher's setting up test conditions. **if you have not contacted Delta Access for permission to fill out this request please do so now ***** deltaaccess@deltasd.bc.ca
Have you contacted Delta Access for permission to fill out this form?*

YesNo
Student Information
Student Legal Full Name*

First NameLast Name
Supervisor Name

First NameLast Name
Supervisor Contact Number*

Area CodePhone Number
Supervisor Email*

Confirmation Emailexample@example.com

Student's High School*
Reminder: Even if you are full time online you should choose the high school you were registered for and select you counsellor you informed of this decision
Burnsview Counsellor*
Delview Counsellor*
Delta Counsellor*
North Delta Counsellor*
Sands Counsellor*
Seaquam Counsellor*
South Delta Counsellor*
Name of School*
School District*
School Counsellor*
School Counsellor's email*

Confirmation Emailexample@example.com

Test Request

This form is required for each test you wish write. Your teacher will be in touch with your password and time you are to write the test.
Course 1*
Specific Test - include Unit and/or test name provided to avoid confusion*
Should be Empty:

Student Information