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.
*
Current Characters (Max 500): 0
Current Characters (Max 500): 0
Current Characters (Max 1000): 0
Current Characters (Max 500): 0
I hereby agree to abide by the conditions set forth on the current program website, including the Rules of Test Participation in the RICA, and I certify that I am the person whose name and address appear on this form. I have completed my test registration and submitted correct payment. I am submitting, together with this completed Alternative Testing/Assessment Arrangements Request Form, any required documentation as noted on the website. I understand that the information I provide, including any supporting documentation, may be shared with the CTC in order to process my request. Because of space, staff, and time constraints, I may not be able to schedule a test appointment with accommodations in my preferred date range. I understand and agree that the alternative 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 under alternative conditions.
Please check the box below.
Please note, this form must be submitted with each registration.