CS101 Policy Acknowledgment Form

This form has multiple pages. You must complete the entire form! You will receive a thank you web page and confirmation e-mail at the end once you have completed the entire form. If you do not receive these, you are not done.

What is your name? Please enter your information as it appears in WVU records so we can readily match you to your information.

First Name

Middle Name

Preferred Name

Last Name

What is your WVU ID (700 or 800 number)?

What is your MIX e-mail address?

Which section of CS101 are you enrolled in?

Do you have exam-related accommodations from the Office of Accessibility Services?

Yes
No

You must have a letter detailing your authorized accommodations sent to your section instructor before they can be granted. We must receive this documentation at least one week prior to any exam or other assignment impacted by the accommodations.