VTest Reasonable Adjustments

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Section 1

Candidate Information

Title

First Name

Last Name

Date Of Birth

Phone

Country

Test Centre (If known)

Exam

Preferred Test Date

Section 2

Request Submitted By:

Candidate
Parent / Guardian
School / Teacher
Other (please specify):

Section 3

Description of Need

Please describe the candidate’s condition and how it affects their ability to take the test:

Section 4

Requested Adjustment(s)

Please select and/or describe the adjustment(s) requested:

25% extra time
50% extra time
Rest breaks (up to 15 minutes between modules)
Extended breaks (please explain):

Test Environment Adjustments

Individual test session
Reduced-distraction environment
Adjustable workstation (desk/chair/device positioning)
Special access to test room (please describe):

Use of an Assistant

Request for assistant support

Other Requests

Please describe any additional adjustments requested

Section 5

Previous Arrangements (if applicable)

Has the candidate received similar arrangements before?

Section 6

Consent and Declaration

By submitting this form, I confirm that:

the information provided is accurate and complete

Terms 2

I understand that VTest may request additional documentation

Terms 3

I understand that not all requested adjustments can be approved

Terms 5

I understand that approved adjustments must not affect the validity of the test

Terms 6

I have read and agree with the Terms of Use and Privacy Policy.

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