ARC ACCOMMODATIONS REQUEST FORM

ARC ACCOMMODATIONS REQUEST FORM

Forms are due at least 48 hours (2 Full Business days) in advance of the test / quiz / assessment.
Late requests will be denied.

Requests for Monday tests need to be completed by FRIDAY.
Name*

First NameLast Name
Course *
Example: English 10
Is this a make up test?

yesno
Teacher's name*
Date of Test (if this is a make up test put the day you would like to make up the test, not the day of the test)*

MonthDayYear
Date
Period (if this is a make up test put the period you want to take the test, not the period you have the class)*
Accommodations (Check ALL that apply). Accommodations are limited to those listed on your SAP.*

Extended time (in one sitting, you may miss part of your next class and are responsible to make up anything you miss in that class.)No scantronAccess to computerReaderScribeCalculatorFormula sheetNote Card -must be approved by teacher 48hrs in advance of test.
Student email *
By clicking the box below, I agree to the following ARC testing policies: *Tests must be completed on the same day that they were started. *After school extended time starts at 2:40, whether I arrive on time or not, and goes until 3:30. *I will come to the Testing Center ready to begin my test. *I will leave my backpack at the door. *I will turn off my phone and give it to the test proctor; I know that I may not get it back until everyone in the testing room is finished. *If I plan to finish the test in more than one sitting, I will tell the proctor so he/she can give me the test one page at a time. I know that if I don't follow this, I may lose my extra time. *I understand that if I come back to the test at a later time, I may not make any changes.*I will not talk during the test. *I will take a bathroom break before starting the test, because I know that I may not leave once I have my test. *If I use a laptop to write an essay, I will not access the internet. I will keep my screen facing the test proctor at all times.*

Agree
Should be Empty:

ARC ACCOMMODATIONS REQUEST FORM

Late requests will be denied.