Request for Accommodations SAT / ACT Accommodations Student Name* First Last AccommodationsThe College Board and ACT considers all reasonable requests for accommodations needed by students with documented disabilities. Approval is based on documentation and final accommodation decisions are made by College Board and ACT. Available accommodations are not limited to those listed. For more information, please visit ACT.org or Collegeboard.org. Accommodation request* No accommodations requested Extended time (note: On the PSAT / SAT, student must wait out extra time accommodations before proceeding to next section of the test) Four-function calculator (disability that impacts their ability to perform mathematic calculations; for example, a student diagnosed with specific learning disorder with impairment in mathematics, or dyscalculia) Reader (human) Reader (computer) - MP3 audio test format Computer use for essays (Physical disabilities that impair the ability to write Dysgraphia Severe language-based learning disorders) Large-print test book - Visual Impairment Other Today's Date* Date Format: MM slash DD slash YYYY Name of Parent / Guardian completing form* First Last Consent* I understand that approval of accomodations is based on diagnostic testing documentation and final accommodation decisions are made by College Board and ACT.