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Exam Accommodation Request - Free Education Template | ZenBuild | ZenBuild

Templates→Education→Exam Accommodation Request

Exam Accommodation Request

Request academic accommodations for exams based on a documented disability or medical condition.

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CategoryEducation

IndustryEducation

Fields7

Uses0

Views9

educationaccommodationdisabilityexamaccessibility

Exam Accommodation Request — Form Fields

This education template includes 7 fields. Request academic accommodations for exams based on a documented disability or medical condition. Free to customize and use on ZenBuild.

Student Full Name (text, required)
Student ID (text, required)
Email Address (email, required)
Course / Exam for Which Accommodation is Needed (text, required)
Requested Accommodations (checkboxes, required) — options: Extended time (1.5x), Extended time (2x), Separate testing room, Screen reader / assistive technology, Large print exam, Scribe / reader assistance, Frequent breaks
Brief Description of Disability or Condition (long text, required)
Upload Supporting Documentation (file upload, required)