ARC ACCOMMODATIONS REQUEST FORM

ARC ACCOMMODATIONS REQUEST FORM

Forms are due at least 24 hours (one full school day) in advance of the test.
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*

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 24hrs 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 ARC 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.