Exam Conflict Resolution Request Form

Student Name: _____________________________ PC ID Number:_________________

Exam Year: _________ Exam Term: Fall Spring Summer

Phone Number: ____________________ Email: _________________@students.trinitydc.edu

Type of conflict:

____ Time (Simultaneous scheduling of more than one examination)

____ Overload (Three or more examinations on the same day)

Please note the course ID, professor and scheduled exam times for the conflicting exams:

__i.e. BADM 101_ _Prof. Smith_________ __Tues 12:15 – 2:45____

_____________ __________________ ___________________

_____________ __________________ ___________________

_____________ __________________ ___________________

Requested Action:

I would like to reschedule my final examination to:

□ Monday □ Tuesday □ Wednesday □ Thursday □ Friday

□ 8:45-11:15 □ 12:15-2:45 □ 3:00-5:30

Student Signature: ___________________________ Date: _______________________

Registrar Confirmation: _______________________ Date: _______________________

Registrar Use Only: Date Received: ______________ Confirmed alternate time with professor: _____________