|TEST TAKER INFORMATION
|TEST TAKER ADDRESS AND PHONE NUMBER
|PLEASE DESCRIBE THE REASON FOR YOUR REQUEST
Statement of the nature of the disability and its severity:
PLEASE DESCRIBE THE TYPE OF ACCOMMODATION REQUIRED
A clear and concise description of the special accommodation(s) requested:
Please upload at least one supporting document from a healthcare or counselling professional which indicates a diagnosis and describes your current limitation.
MS Word document, PDF, and graphic files are acceptable.