Reasonable Accommodation Request For Examinees With Disabilities Page 2
ADVERTISEMENT
1
2Page 2
Department of Financial and Professional Regulation, Division of Professional Regulation
IV.
ACCOMMODATIONS REQUEST FOR EXAMINATION (check all that apply)
Help:
Reader
Recorder (scribe)
Sign language interpreter
Time:
Extra breaks/rest periods
Extra testing time.
Other (Please explain): _____________________________________________________________________
________________________________________________________________________________________
V.
SABBATH OBSERVER: To ask that your test be administered on a day other than Saturday or a holy day,
please submit a letter on letterhead stationery, signed by your rabbi or minister, confirming your affiliation with a
recognized religious group that observes its Sabbath on Saturday or a holy day.
I observe
the Sabbath on Saturday
a holy day which falls on the scheduled day of the examina-
tion and I will have to take the examination on another day.
Applicant: please do not use space below. Examiners use only.
A.
ACCOMMODATIONS REQUEST FOR EXAMINATION (check all that apply)
Help:
Reader
Recorder
Sign language interpreter
Time:
Extra breaks/rest periods
Extra testing time.
Other (Please explain): _____________________________________________________________________
________________________________________________________________________________________
B.
IDENTIFICATION
Test date:
___________________________________________________________________________
Test location:
___________________________________________________________________________
Test form:
___________________________________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business