Name: Prometric
Price range: $

提交特殊需求申请

申请步骤：

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我们要求所有提出特殊需求的考生在提交申请之前，花时间仔细按申请表要求提供资料。完整的特殊需求申请资料包括考生特殊需求申请表、专业评估表以及 Prometric 和/或您的考试主办方出于评估目的而要求的任何补充信息或文件。提交完整的资料将使 Prometric 能够协助考生根据考生的特殊情况安排最佳的特殊调整。资料不完整的特殊请求将不予受理。

Candidate First Name

200 characters left

Candidate Last Name

25 characters left

Candidate Email Address

Candidate ID(s)

1000 characters left

Street Address

Address 1

Address 2

City

ZIP / Postal Code

Candidate Country

Phone Number w/ Country Code

Thank you for contacting Prometric. We are unable to assist you via this form. Please find the contact information below for further assistance:

United States: 1-800-967-1139 (toll-free)
Mon-Fri: 8:00am-6:00pm ET

Website: www.prometric.com/see

Prometric Testing Accommodations
7941 Corporate Drive
Nottingham, MD 21236

Testing Program Name

80 characters left

Exam Name

255 characters left

Preferred Exam Location

50 characters left

Preferred Testing Dates (provide at least 3 options)

50 characters left

Description

32000 characters left

Additional Exam Time Needed

Thirty minutes

50% (time and one-half)

100% (double time)

Assistance (NOTE: If JAWS/ DRAGON is not compatible with your exam, we may offer alternate accommodations that will serve a similar purpose.)

Additional Accommodations Request(s)

255 characters left

PLEASE READ AND PROVIDE CONSENT:

I authorize release of the attached forms to Prometric staff to review and arrange the requested accommodation. I give my permission for my diagnosing professional to discuss with Prometric staff my records and history in as much as they relate to the requested or suggested accommodation. I understand and agree that Prometric staff may provide my records to an appropriate professional selected by Prometric for an independent evaluation relating to my request or to the organization or agency for which the exam is administered.

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