MAKE-UP TEST PERMISSION FORM

Athletic Student Services/WSU Counseling and Testing Center

Name myWSU#

Sport Date

Make-Up Test Policy

The Athletic Student Services Office will pay the fees associated with a student-athlete
making up a test because he/she missed a test due to (1) competition, and (2) an illness
which is documented by the Athletic Training Room and the Athletic Student Services
Office.

Class in which you are making up a test:

Name of Instructor:

The date your test was originally scheduled:

Reason you need to take a test at the Counseling and Testing Center:

I hereby give permission to the WSU Counseling and Testing Center to charge the
Athletic Student Services Office $8.00 for
completing a make-up exam. (Name of Student-Athlete)

Printed Name from Athletic Student Services Office Date

Signature from Athletic Student Services Office

Signature of Student-Athlete