QABA Accommodationsxx

Complete the application for time accommodations below

* Indicates required field

Name *

First

Last

Select which exam you are applying for *

Email *

Please indicate what reasonable adjustments you are requesting: *

Extend Time: Standard + 100% (maximum available) Other (specify below)

Please Specify other: *

Rationale for each requested adjustment: *

WHAT IS YOUR DISABILITY? (Check all that apply) *

Learning or other Cognitive Disorders Attention-Deficit/Hyperactivity Disorder (ADD/ADHD) Psychological / Psychiatric Disorder Physical Disorders and Chronic Health Conditions

documentation

All candidates who are requesting disability related reasonable adjustments must provide current documentation of their condition and rationale for the requested adjustments. Please provide a detailed letter from a qualified professional that describes the disabling condition (upload below)

Please note

We reserve the right to request evidence as to the qualifications of the professional or doctor whose documentation is submitted and may request direct contact for verification.

Please upload documentation here: *

Max file size: 20MB

Submit