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Exam Accommodation Request - Free Education Template | ZenBuild | ZenBuild

Templates→Education→Exam Accommodation Request

Exam Accommodation Request

Request academic accommodations for exams based on a documented disability or medical condition.

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Exam Accommodation Request

Request academic accommodations for exams based on a documented disability or medical condition.

Student Full Name*

Student ID*

Email Address*

Course / Exam for Which Accommodation is Needed*

Requested Accommodations*

Extended time (1.5x)Extended time (2x)Separate testing roomScreen reader / assistive technologyLarge print examScribe / reader assistanceFrequent breaks

Brief Description of Disability or Condition*

Upload Supporting Documentation*

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Template Details

CategoryEducation

IndustryEducation

Fields7

Uses0

Views1

educationaccommodationdisabilityexamaccessibility