Indiana University-Purdue University Indianapolis
The Testing Center
   
The Testing Center
 
 
 
Home : Staff/Faculty : Retest Request Form

Retest Administration Request
IUPUI Testing Center
Union Building - Room G015
(317)274-2620

Note: This form may only be filled out by university counselors or faculty.

If you are a student and wish to retake your exam, please contact your counselor or school and they will make the decision to allow you to do so. The Testing Center cannot advise you nor give permission for doing so. This application will be verified with your school to ensure for accuracy and compliance with university regulations.

Reply to Email Address NOTE: This must be filled in

Name

Address

Phone

Send Results To Department/School

Type(s) Of Test To Be Administered

Date Of Referral

Date Of Testing

Referred By

Signature Of Admission Officer

Students Signature For Release Of Results To The Above Person