Student Makeup Exam Form

• Please read and acknowledge the instructions for requesting an exam carefully before submission.
• Requests must be submitted for dates at least five (5) calendar business days after the form submission date.
• All makeup exams must have the approval of the course instructor. Requests should indicate at least three (3) separate time preferences as scheduling options.
• Clearly indicate first and last name, course name and number, and a working contact phone number for proper request processing.
• The HUB: Coaching & Testing Services adheres to the Rockford University Academic Integrity Policy which applies to plagiarism, cheating, and the academic regulations of Computer Labs and Library Services. A complete reading of the Academic Integrity Policy may be viewed by following the link provided. View the Academic Integrity Policy
• Please review the 7 Simple Rules for Test Success in CLS.
• Notifications will be forwarded exclusively to Rockford University email accounts. The faculty of record for courses listed on the student request form will be copied on the student test scheduling confirmation email.

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Before filling out the request form, you MUST read through the Academic Integrity Policy: HERE.

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