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College Board/ACT - Consent Form for Accommodations Request
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Student Name
Your answer
Student E-Mail (College Board will contact you here)
Your answer
My student is on a 504 Accommodation Plan
Yes (or in process)
No
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Student Date of Birth
MM
/
DD
/
YYYY
Student's School Counselor
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Mrs. Taylor
Mrs. Mont
Mrs. Harwich
Mrs. Andrews
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