University of Kentucky
MA138: Alternate Exam Request Form

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Student's Full Name:*
Student's Email Address:*
Student's Section #:*
Describe Exam Conflict:*
Alternate Exam Needed:* Exam 1   ---   Yes     No
Exam 2   ---   Yes     No
Exam 3   ---   Yes     No
Final      ---   Yes     No
By submitting this form, I indicate that the above information is correct and that I meet the criteria described for requesting to take the Alternate Exam.