Exam Registration Form
Exam Registration Form
Please fill out all applicable sections of this form.
Name
Course
Registration Number
Exam Date and Time
Phone number
Do you require any special accommodations?
If yes, please specify the type of accommodation required:
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Extended Time
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Reader/Scribe Assistance
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Separate Testing Room
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Wheelchair Accessibility
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Large Print Exam Material
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Assistive Technology (e.g., Screen Reader, Magnifier)
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Permission to Bring Medical Equipment/Medication
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Supporting Documentation
Please provide any documentation related to your accommodation request to help us make the necessary arrangements.