JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request for Accommodations for College Board tests (AP, PSAT, SAT)
Please complete this form. Once completed, you will be notified when the request has been submitted to the College Board.
Sign in to Google
to save your progress.
Learn more
Student Name
Your answer
Parent Name and email address
Your answer
Student Birthdate
MM
/
DD
/
YYYY
Student ID Number
Your answer
Please list the next College Board test the student intends to take next and an approximate date.
Your answer
Does the student have an IEP or 504 plan?
Yes, IEP
YES, 504 Plan
No
Clear selection
What is the student's disability?
Your answer
When was the student first diagnosed with the disability/disabilities listed above?
Your answer
Did the student have a previous IEP or 504 plan, if they currently have a plan?
No
Yes, a previous 504 plan
Yes, a previous IEP plan
Clear selection
If the student had a previous plan, what date did they have their first plan and was it an IEP or 504 plan?
Your answer
What accommodation(s) is the student requesting? If extra time please specify 1.5 extra or double time.
Your answer
Are the requested accommodations currently on the student's IEP or 504 Plan?
Yes
No (Typically, these requests will take longer and may require documentation)
Clear selection
Is the student currently using these accommodations in their BHS classes?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northshore School District.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
