2019-20 SSD Accommodation Eligibility Form
Please choose one of the following to continue the eligibility form. If you are applying for both, please complete the form twice. If you are applying for ACT accommodations, you must also register for a specific test date before the request for accommodations can be processed.

Please note that all requests are completed online, and therefore CCHS must submit all documentation electronically. CCHS has electronic copies of IEPs, 504s, and ISSPs, as well as any testing conducted by CCHS. Any other supporting documentation needs to be provided by the family. Please gather all supporting documentation that provides further insight in the student's disabilities and/or diagnoses (including doctor's notes and outside evaluations) and email or send hard copies to Alison Nowicki (anowicki@concordcarlisle.org). Once we verify that all documentation has been received, we will proceed with completing the application. Please note that it can take up to 7 weeks for determinations to be made.
ACT or College Board Request? *
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