Massachusetts Maritime Academy- Accommodated Testing Requests FA25
THIS FORM IS NOW CLOSED. PLEASE USE THIS LINK FOR SPRING 2026 TESTING REQUESTS: https://form.jotform.com/260495576741164
Student Name
*
First Name
Last Name
Student Email Address
*
example@maritime.edu
Student ID #
*
099999
Faculty name
First Name
Last Name
Faculty Email Address
*
example@maritime.edu
Course Number
*
SM-1111
I acknowledge that students with accommodations should take quizzes/tests/exams at the same date/time scheduled for their class whenever possible. (Exceptions are permitted when a student's extended time will go past 1600 or when the extended time will overlap with a scheduled class).
*
Yes
Date and Time of the actual exam.NOTE: Testing Center CLOSED 6-4-25. Please note if your test time goes beyond 4PM due to extended time you will need to select a new time below.
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-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Amount of time required to complete the exam:
*
Please Select
50 minutes (standard MWF class)
75 minutes (standard MWF class with time-and-a-half)
75 minutes (standard 2 day a week class)
113 minutes (2-day-a-week class with time-and-a-half)
110 minutes (standard LAB, one hour and 50 min.)
165 minutes (standard LAB, one hour and 50 min. with time-and-a-half)
120 minutes (final exam)
180 minutes (final exam with time-and-a-half)
Please select the correct time based on your class section and accommodations.
Due to my extended time or because my exam will go past 4PM, I can't take the quiz/test/exam at the scheduled time for other students. I'm requesting an alternate testing time and understand that only the professor can approve and communicate any changes.
*
Yes
No
Please select the Date and Time you would like to take the exam. It is the students responsibility to follow up with their professor to confirm whether a schedule change will be permitted. Faculty must then confirm the approved date/time. NOTE: Testing Center will close at 1600.
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-
Month
-
Day
Year
Date
Hour Minutes
If testing appointment time is different than your regular class time please explain here:
*
Example: I have extended time and will have to leave for a class before I am able to complete the exam.
Please review your accommodation letter. Which of your approved testing accommodations would you like to use on THIS exam? Select accommodations that are on your letter ONLY.
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Reduced distraction location
Use of a 4-function calculator
1.5 additional time
Utilization of a computer
Other
By opting to test in the proctored MMA Testing Center I acknowledge that I may not have access to my professor during testing.
*
yes, I approve
Please verify that you are human
*
Submit
Please enter any specific directions for the testing proctor:
E.g.: all students are allowed access to textbooks, or an index card with notes
Is this exam a computer-based test or paper-based test?
computer-based
paper copy of test
Other
How would you like the proctor to get access to the testing materials? Please note that testing materials will need to be received by the Testing Center by 4pm the day before test date.
*
You will deliver to lockbox in Harrington mailroom
Email to proctor@maritime.edu
Send interoffice mail to ARC
Personal drop off in ARC office
Faculty cell phone - Please provide a cellphone number if you are willing to be contacted by the MMA Testing Center should the student have questions during testing.
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: