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Complete the application for time accommodations below
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Name
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First
Last
Select which exam you are applying for
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Select Exam
Qualified Autism Services Practitioner (QASP)
Applied Behavior Analyst Technition (ABAT)
Email
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Please indicate what reasonable adjustments you are requesting:
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Extend Time: Standard + 100% (maximum available)
Other (specify below)
Please Specify other:
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Rationale for each requested adjustment:
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WHAT IS YOUR DISABILITY? (Check all that apply)
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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:
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Max file size: 20MB
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