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Change of Exam Site Form

Last Name

First Name

Student Number


To comply with Memorial's single email policy, DELTS uses @mun email addresses to communicate with students whenever possible. Please check your @mun email address regularly to ensure you receive all important communication from our department. We encourage you to use your @mun email address when completing this form.

Email Address

Phone Number

Select Semester

Current Exam Site

Requested Exam Site

Exams to Change
In the area below please enter the exams/tests you wish changed in the format of Course Name and Number and CRN number if possible. (eg. BIOL2440, CRN 655432). Indicate if the change affects Term Tests/Midterms; Finals; or ALL exams for term. One exam per line would be preferred.

Reason for Change


Note

There is a $50 fee to change your exam site for each exam scheduled in Memorial Self-Service. This fee will be charged to your MUN account if your request is approved. To avoid incurring fees in changing your exam site, please submit the change of exam site form during the first week of the semester.

Requests for changes in exam sites must be submitted on this form to Distance Education and Learning Technologies, at least 14 days prior to the exam date. Changing your address does not automatically result in your exam site being changed; an official application must be submitted. We reserve the right to refuse any requests for changes in exam sites.

If you are transferring your exam to a location outside Newfoundland and Labrador, you must complete an Examination Supervisor Form.

NOTICE

"Memorial University protects your privacy and maintains the confidentiality of your personal information. The information requested in this form is collected under the authority of the Memorial University Act (RSNL 1990 Chapter M-7) and is used for the purposes of academic and student services administration. Questions about the collection and use of this information may be directed to the Services Coordinator at 709-864-3532."

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