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SLBC MOODLE
Course-Specific Requests Form




We thank you for taking the time to contact us. We will answer your request as soon as we can.

~SLBC Staff~



Please read about our various waiver/requests BEFORE submitting the form below. (You can find more information on the options below at: Special Requests AND Waivers. )



The waivers and requests you can make from this form are:


Office Hours

Monday - Friday

10:00am - 10:00pm

Salt Lake City, UT, USA

It is currently:



  • Grade Dispute/Correction Request
    Be sure to specify the course AND quiz!

  • Quiz/Test Extra Attempt
    Be sure to specify the course AND quiz! Remember, upon review and at the discretion of SLBC, academic counselling may be required.

  • Test Out of a Course
    Specify course name and course ID.





*TODAY'S Date:  *.   *.  
*Which Branch: 
*Student ID Number:
This is your Student ID number not your Moodle username!! (Your Student ID can be found on your profile page on Moodle.) THIS IS REQUIRED!!

Student ID numbers are 18 characters long, and look like this: XxxxXxxxXxxx###### (12 letters, 6 numbers).

*First Name: *Last Name:
*Email: *Verify Email:
*Your BIRTH Date:  *.   *.  
*Mother's Name:
Note: Birth Date and Mother's name are for confirmation purposes ONLY, and MUST match the information we have on file for you.





*Type of Request: 
*  *  
Note: Not all courses are eligible to be Tested Out of. Eligible courses will be marked with an * (asterisk.)
*  *  



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