Admissions Testing Access Arrangements application form 2018 onwards

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Access Arrangements Application Form

This Access Arrangement Application is for centre-delegated arrangements only.*

Yes No

The following Access Arrangements are considered centre-delegated:

25% Extra Time
Supervised Breaks
Separate Invigilation
Use of Colour Overlays
Use of Coloured Paper (Packets can be opened up to half an hour before the test so that the papers can be photocopied onto coloured paper.)
Use of Hearing Aids

All of the arrangements I will be requesting, on behalf of my candidate, have already been approved by the Joint Council for Qualifications (JCQ) or by Cambridge Assessment International Education. *

Yes No

As your Access Arrangement Application is for centre-delegated arrangements only, which have already been approved by the Joint Council for Qualifications (JCQ) / Cambridge Assessment International Education, you do not need to submit this form.

I am making this Access Arrangement Application from*

an Open Centre an Internal Centre

an Open Centre

Your contact details will appear on our Find a centre page and test-takers will be able to contact you directly about registering to take a test at your centre.

an Internal Centre

Your contact details will not appear on our website and you will only administer tests for your own students.

Centre Details

Test*

Centre Number*

This is your full Cambridge Assessment English Centre Number (for example: GB599 or 12345 if based in the UK).

Your contact details (in case further details are required)

First Name*

Last Name*

Email Address*

Confirm Email Address *

Candidate Details

Candidate Number*

This is your candidate number. The format is alphanumeric.

Candidate First Name*

Candidate Last Name*

Candidate Date of Birth*

Reason for Access Arrangement Application

Condition *

Access Arrangements Requested

Modified Materials

A3 enlarged paper

Other:

While we will try to accommodate all requests, it may not be possible.

Administrative Arrangements

Use of a reader Use of an amanuensis Use of a word processor (the use of a word processer is only available for certain Admissions Testing sections.) Other arrangements

If you have selected “Other arrangements”, please provide details below:*

Supporting Evidence File Upload

Supporting Evidence File Upload*

No File Chosen

File uploads may not work on some mobile devices.

Declaration

I am satisfied that the arrangements requested are justified for this candidate and I have been given permission to submit this Access Arrangement Application on their behalf.