Alternative Testing Arrangements Request Form

A red asterisk * indicates a required field.

Alternative testing arrangements may only be applied to unscheduled test registrations.

Prior to submitting this form: Register for the test(s) for which you are requesting accommodations. Do not schedule your appointment. If you did schedule a test date, please cancel your appointment before completing and submitting this form.

(Found in your registration account)

Current Characters (Max 500): 0

Current Characters (Max 500): 0

Current Characters (Max 1000): 0

Current Characters (Max 500): 0

Documentation (check one of the following)*: • Allowance of a medical device in the testing room. • Use of a trackball mouse. • Screen magnifier. • Large font (up to 200%).
Previous Alternative Testing Arrangements (check one of the following)*:

Upload Your Files
  1. Preview your files before uploading. Ensure they are legible and complete.
  2. Click “Add” and select a file to upload.
  3. Continue adding files as needed, up to ten files totaling no more than 20 megabytes.
  4. To remove a file from the queue, click the “X” next to the filename.

I have had an adequate opportunity to review, to my satisfaction, the FTCE/FELE website and hereby agree to abide by the conditions set forth on the website and I certify that I am the person whose name and address appear on this form. I am submitting, together with this completed Alternative Testing Arrangements Request Form, any required documentation as noted on the website. If my institution is submitting an Institutional Verification of Documentation on my behalf, I authorize that institution to submit a copy of the documentation referenced on that form to Evaluation Systems upon request. I understand that the information I provide, including any supporting documentation, may be shared with the DOE in order to process my request. I understand and agree that the alternative testing arrangements I have requested herein will be given due consideration. If, and to the extent that, any such request is granted, I understand that I will be taking the test(s) under alternative conditions.

Please check the box below.

Please note, this form must be submitted with each registration.