Testing Accommodation Request


Only students registered with Disability Services will be provided with accommodations.

Please allow three (3) business days’ notice for all requests.

Please Note: This Disability Services Testing Accommodation Form is to be used only for students who are registered with Disability Services and who have accommodations on file.

First Name: *

Middle Initial: *

Last Name: *

Your Email: *

Student Number (Include all digits): *

Class Title: *

Instructor’s Name: *

Instructor’s Email: *

Cindy Tobin/Jewel Akpose or Mary Frances Bernard/Shanequa Dyer Warrington *

Class Location: *

Requested Test Date: *

Requested Test Time: *

What Accommodations do You Need?:

 Isolated Testing Extended Time Interpreter Writer Reader Zoomtext Enlarged Print

Additional Comments:

Chattahoochee Technical College Logo

980 South Cobb Drive
Marietta, GA 30060

© 2013 Chattahoochee
Technical College
All Rights Reserved
An Equal Opportunity Institution

A Unit of the Technical
College System of Georgia.


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100 Campus Drive
Jasper, GA 30143

Austell Campus
1578 Veterans Memorial Highway
Austell, GA 30168
Classroom-Only Location
No Office Hours

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1645 Bluffs Parkway
Canton, GA 30114

Marietta Campus
980 South Cobb Drive
Marietta, GA 30060

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2680 Gordy Parkway
Marietta, GA 30066

North Metro Campus
5198 Ross Road
Acworth, GA 30102

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400 Nathan Dean Boulevard
Dallas, GA 30132

Woodstock Campus
8371 Main Street
Woodstock, GA 30188
Classroom-Only Location
No Office Hours