Title: 2011-12 GRE, TOEFL, The Praxis Series Bulletin Supplement for Test Takers with Disabilities or Health-Related Needs E T S Publication ID = 000000 E T S Item Number = 760467 This publication is currently available in print, large print, Adobe PDF and in text format. Note: The printed edition contains several forms, which are also included in this electronic publication. A printer friendly format is available in the printed version of the Bulletin Supplement and in the Adobe PDF version. Forms: --Part I - Applicant Information --Part II - Testing Accommodations Requested --Part III - Certification of Eligibility --ETS Vision Documentation Report Form This electronic edition contains the entire text of the print edition except for extraneous header and footer information, graphical elements and navigational controls for electronic documents. This document consists of the sections listed below. --Contents --Customer Service --General Information --How to Request Accommodations and Register --How to Register Using Previously Approved Accommodations --Health-Related Needs and Minor Accommodations --Submitting Your Request to ETS --If Your Request Is Approved --Test Preparation --Scoring and Reporting --Request for Nonstandard Testing Accommodations - Instructions/Forms --ETS Vision Documentation Report Form Page numbers in this document are indicated with the word "page" enclosed between the less-than and greater-than symbol: . To locate material on page 1 of the printed edition, use your search or find command to search for " 1" (do not enter the quotation marks into the search window). 1 = front cover Listening. Learning. Leading.(R) 2011-12 GRE(R) TOEFL(R) THE PRAXIS SERIES(TM) BULLETIN SUPPLEMENT for Test Takers with Disabilities or Health-Related Needs This publication contains registration procedures and forms for GRE(R), TOEFL(R)and THE PRAXIS SERIES(TM) tests. It should be used in conjunction with the information and registration form(s) provided in the appropriate 2011-12 Program Bulletin. Visit the E T S website at www.ets.org/disabilities for the most up-to-date information. 2 Copyright (c) 2011 by Educational Testing Service. All rights reserved. E T S, the E T S logos, LISTENING. LEARNING. LEADING., GRE, TOEFL and PPST are registered trademarks of Educational Testing Service (E T S) in the United States and other countries. PRAXIS, THE PRAXIS SERIES and TOEFL iBT are trademarks of ETS. 3 CONTENTS Customer Service 4 General Information 4-5 How to Request Accommodations and Register 5 How to Register Using Previously Approved Accommodations 5 Health-Related Needs and Minor Accommodations 6 Submitting Your Request to E T S 6 If Your Request Is Approved 6 Test Preparation 7 Scoring and Reporting 7 Request for Nonstandard Testing Accommodations Instructions 8 Part I - Applicant Information 9-10 Part II - Testing Accommodations Requested 11 Part III - Certification of Eligibility 12-14 E T S Vision Documentation Report Form 15-16 4 CUSTOMER SERVICE The information provided in this publication and in the 2011-12 Information and Registration Bulletins for GRE(R), TOEFL(R) and The Praxis Series(TM) should answer any questions you may have about registering for a GRE, TOEFL or Praxis(TM) test. If you do not have a copy of the appropriate Bulletin or require additional information, visit www.ets.org or contact E T S Disability Services. E T S Disability Services Monday-Friday 8:30 a.m.-5 p.m. EST Phone: 1-866-387-8602 (toll-free in the U.S., U.S. Territories* and Canada) (*Includes American Samoa, Guam, Puerto Rico and U.S. Virgin Islands) + 1-609-771-7780 (all other locations) TTY: + 1-609-771-7714 Fax: + 1-609-771-7165 E-mail: stassd@ets.org Mail: E T S Disability Services PO Box 6054 Princeton, NJ 08541-6054 GENERAL INFORMATION ETS is committed to serving test takers with disabilities or health-related needs by providing services and reasonable accommodations that are appropriate given the purpose of the test. Nonstandard testing accommodations are available for test takers who meet ETS requirements. All requests for accommodations must be approved in accordance with ETS policies and procedures and must be made on the Request for Nonstandard Testing Accommodations form (pages 8-14). Note: Test takers who have health-related needs requiring them to bring equipment, beverages or snacks into the testing room, or take extra or extended breaks, need to follow these accommodations request procedures. Applicants are encouraged to send questions related to accommodations decisions to ETS Disability Services by e-mail or mail. Because ETS needs to review documentation in order to provide appropriate accommodations, all test takers requesting any accommodations must register through ETS Disability Services. Documentation review takes approximately six weeks after receipt of all necessary documentation at ETS. ETS is committed to producing alternate test formats (e.g., braille, recorded audio, reader’s script or large print) as quickly as possible. Production times may vary. We urge you to send in your request for testing accommodations well in advance of your planned test date. Continued on next page. 5 If you are planning to take a GRE or TOEFL test, you may want to ask your prospective institution or fellowship sponsor whether it is willing to waive the test requirement and consider your application based on other information. HOW TO REQUEST ACCOMMODATIONS AND REGISTER You must submit your request for accommodations to E T S by the registration deadline listed in the appropriate program Bulletin. Bulletins are available on the E T S website at www.ets.org. Choose your program and then go to "Test Takers with Disabilities." Note: All requests for testing accommodations must be reviewed and approved before your test can be scheduled. All materials must be submitted together or your registration will be returned to you unprocessed, which may cause your test to be delayed. What to Include in Your Request 1. The appropriate registration form(s) and the proper fee for the test you are taking. Registration forms and fee information are available in the appropriate program Bulletin and on the program's website. AND 2. A completed Applicant's Request for Nonstandard Testing Accommodations form (pages 8-14). --You must complete Part I - Applicant Information and sign the Verification Statement. --You must complete Part II - Testing Accommodations Requested. --You must submit either Part III - Certification of Eligibility (COE) OR your disability documentation, unless you are registering for testing accommodations identical to those that E T S has approved for you within the last two years. HOW TO REGISTER USING PREVIOUSLY APPROVED ACCOMMODATIONS If your request for accommodations has been approved by E T S within the last two years, and your documentation is still current, you may request the same testing accommodations for any GRE, PRAXIS or TOEFL test during the 2011-12 testing year. If you are registering for a different test, the accommodations E T S previously approved for you within the last two years will be approved again if they are appropriate for the current test. To register, submit the appropriate registration form, appropriate fees and Parts I and II only of the Request for Nonstandard Testing Accommodations form. Be sure to indicate the previous test name and test date. Note for Praxis Paper-Based Test Takers: You can reregister by phone, but only if you are requesting testing accommodations identical to those E T S has approved for you within the last two years and your documentation meets current E T S documentation criteria. 6 HEALTH-RELATED NEEDS AND MINOR ACCOMMODATIONS “Health-related needs” refers to any of a variety of medical conditions that impact a major life activity, such as those affecting digestion, immune function, respiration, circulation, endocrine functions, etc. Documented health needs include conditions such as diabetes, epilepsy and chronic pain. Some test takers with documented health needs require only minor accommodations. Minor accommodations include, but are not limited to, special lighting, an adjustable table or chair and/or breaks for medication or snacks. Test takers requiring minor accommodations must submit Parts I (Applicant Information) and II (Testing Accommodations Requested) of the Request for Nonstandard Testing Accommodations form. They must include a letter of support from a medical doctor or other qualified professional stating the nature of the condition and the reason for the minor accommodation requested, as well as the appropriate registration form and fees. SUBMITTING YOUR REQUEST TO E T S Send all completed requests for testing accommodations to: Educational Testing Service Disability Services PO Box 6054 Princeton, NJ 08541-6054 IF YOUR REQUEST IS APPROVED Once your request for accommodations is approved, E T S will send you a letter confirming the accommodations that have been approved. Allow up to six weeks from the time your completed request is received at E T S to receive your letter of authorization. Computer-Based Testing (CBT) and Internet-Based Testing (iBT) -- Do not schedule a CBT or iBT test date until you receive your letter of approved accommodations. Be prepared to provide the voucher number and the information contained in your letter when scheduling your test. Paper-Based Testing (PBT) -- E T S will send you a letter that confirms the accommodations approved for you and identifies the testing location and test administrator. If the center cannot accommodate your request on the scheduled testing date, you will be contacted by the test administrator to arrange an alternate administration date. Alternate-Format Testing (TOEFL and GRE revised General Test only) -- A representative from E T S Disability Services will contact you to confirm the accommodations approved for you and to schedule your test appointment. 7 TEST PREPARATION For information about test preparation materials, go to your testing program’s website and follow the “Prepare for the Test” link. --GRE Program — www.ets.org/gre --TOEFL Program — www.ets.org/toefl --Praxis Program — www.ets.org/praxis If you need preparation materials in an alternate format, please contact ETS Disability Services (see page 4 for contact information). SCORING AND REPORTING Note for Praxis and GRE Test Takers: In most cases, score reports contain no indication of whether a test was taken with accommodations. In rare instances, when an accommodation significantly alters what is tested (for example, if an entire test section must be omitted), a statement may be included with the score report indicating that the test was taken under nonstandard testing conditions. Score reports do not indicate the nature of the disability or the accommodation given. Score recipients also are reminded that test scores should be considered only one part of an applicant's record. Note for TOEFL Test Takers: If the TOEFL Listening section is omitted for an applicant who is deaf or hard-of-hearing, no Listening or total score will be reported. If the TOEFL Speaking section is omitted for an applicant who is deaf or hard-of-hearing, or for an applicant with a speech disability, no Speaking or total score will be reported. Only scores for the sections that are taken will be reported. The score report will indicate the section that was not taken by the examinee. No other information will be provided. 8 GRE(R) TOEFL(R) THE PRAXIS SERIES(TM) REQUEST FOR NONSTANDARD TESTING ACCOMMODATIONS INSTRUCTIONS Send all required items to E T S in ONE mailing. ALL applicants must send 1. Completed registration form and fee (see appropriate registration Bulletin) 2. Part I--Applicant Information (see pages 9-10) 3. Part II--Testing Accommodations Requested (see page 11) and ALL applicants, unless registering for the identical accommodations that have been approved by E T S within the last two years must send 4. EITHER: A. Part III - Certification of Eligibility (COE) (see pages 12-14) Submit the COE if 1. your documentation meets the E T S Documentation Criteria (see www.ets.org/disabilities); and 2. the documentation supports each of the testing accommodations you are requesting; and 3. you use or have used accommodations at your school or place of employment within the past three years; and 4. you are asking for only those accommodations specified in Part III--Certification of Eligibility. The authorized person signing the COE must certify that the documentation on file meets the E T S Documentation Criteria. Note: The COE is appropriate only for those disabilities that are specifically listed in Part I. If you are submitting a properly completed Part III-Certification of Eligibility that is supported by the disability documentation, DO NOT send the documentation; doing so will delay the review process. E T S reserves the right to request the actual documentation. --OR-- B. Disability Documentation Submit your documentation, including history of testing accommodations, to E T S if you: 1. have a disability that is not specifically listed in Part I; or 2. are requesting more than 50 percent extended testing time (time and one-half) or a reader; or 3. are requesting any other accommodation that is not specifically listed in Part III; or 4. are unable to provide a Certification of Eligibility (see instructions in Part III); or 5. have not previously used the testing accommodations you are requesting; or 6. were diagnosed with a disability within the last 12 months. Submit your documentation and history of testing accommodations with Parts I and II. E T S will review your documentation and determine whether it supports the request for accommodations. An Individualized Education Program (IEP) or 504 Plan alone may not be used. If applicable, please ask your college disability service provider, Human Resources representative or vocational rehabilitation counselor to attach a letter on official letterhead that details your history of accommodations use. If you have a visual disability and are submitting documentation for review, use the E T S Vision Documentation Report form on pages 15–16 of this Supplement. Include the COE, if applicable. 9 Applicant's Name (please print) Last, First, M.I. ____ PART I - APPLICANT INFORMATION Instructions: All applicants must complete this section and sign the Applicant's Verification Statement on the next page. Applicant's Name (please print--leave one blank box between names) Last, First, M.I. ____ Mailing Address ____ Gender ____ Date of Birth ____ Social Security Number ____ Day Phone Number (Voice/TTY) ____ Evening Phone Number (Voice/TTY) ____ Fax Number ____ E-mail Address ____ I would prefer that E T S communicate with me via: E-mail __ Mail __ Phone __ Fax __ Test(s) I am applying for: GRE __ TOEFL iBT(TM) __ TOEFL PBT __ PRAXIS __ Nature of your disability (check all that apply): ADD/ADHD __ Learning disability __ Blind __ Legally blind or low vision __ Deaf __ Hard-of-hearing __ Physical disability (describe; must submit documentation) ____ Other (describe; must submit documentation) ____ When was your disability first diagnosed? Month _____ / Year _____ Date of professional's most recent evaluation: Month _____ / Year _____ Have you received accommodations within the past five years in college and/or employment? No __ Yes __ If yes, please list the accommodations received: ____ Continued on next page. 10 Applicant's Name (please print) Last, First, M.I. ____ PART I - APPLICANT INFORMATION (continued) Verification Statement to be Signed by Applicant I attest to the fact that the information recorded on this application is true, and if this application is not sufficient, I agree to provide E T S with any additional information or documentation requested in order to evaluate my request for accommodations. I also give permission to release to E T S a copy of any pertinent information required to establish the need for the accommodation(s) requested herein. If I am requesting the use of an assistive device, I am familiar with its use. I understand that all information that is necessary to process this application must be available to E T S sufficiently in advance of the test administration date to provide time to evaluate and process my request for accommodations. I acknowledge that E T S reserves the right to make final determination as to whether any requested accommodation is warranted and appropriate. If I am submitting a Certification of Eligibility (Part III), I acknowledge that my request for accommodations will not be processed if I alter or revise Part III in any way after the appropriate official has completed it. I also understand that E T S does not waive its right to ask the person who completes Part III on my behalf to submit the supporting documentation, if necessary, either before or after the test administration date. I authorize any person completing Part III on my behalf to release this information to E T S upon E T S's request. I also understand that the documentation in support of my request for accommodations supersedes any information contained in the Certification of Eligibility. For quality assurance, COEs may be subjected to audit resulting in a review of the actual disability documentation on file. I acknowledge that any submitted information may also be used for research purposes, and that in no case will any individual be identified by name in research studies, and that the information will be protected by the terms of E T S's Confidentiality of Data Policy. I further understand that E T S reserves the right to withhold or cancel my scores if it is subsequently determined that, in E T S's judgment, any information presented in this application or supporting documentation is either questionable, inaccurate or used to obtain accommodations that are not necessary. Signature of Applicant ____ Date ____ Keep a copy of this completed form for your records. 11 Applicant's Name (please print) Last, First, M.I. ____ PART II - TESTING ACCOMMODATIONS REQUESTED If you have received E T S approval within the last two years for the accommodations identical to those you are requesting now, and your documentation is still current, please indicate the following: Previous test(s) taken: ____ Previous test date(s): ____ REQUESTED ACCOMMODATIONS (Check all that apply) Accommodations for Computer-Based Tests __ Trackball mouse __ Quill mouse __ IntelliKeys keyboard __ Screen magnification __ Ergonomic keyboard __ Keyboard with touchpad __ Selectable background and foreground colors Alternate Test Formats __ Braille** (**Only applicants who are blind or have low vision) __ Large-print test book __ Large-print answer sheet __ Audio with Braille figure supplement (GRE revised General Test only) __ Audio with large-print figure supplement (GRE revised General Test only) __ Audio (PPST(R) and TOEFL tests only) __ Computer-voiced with Braille figure supplement (GRE General Test in U.S. only)** (**Only applicants who are blind or have low vision) __ Computer-voiced with large-print figure supplement (GRE General Test in U.S. only)** (**Only applicants who are blind or have low vision) __ Listening section omitted (TOEFL test only)* (*Only applicants who are deaf or hard-of-hearing) __ Speaking section omitted (TOEFL test only)*** (***Only applicants who are deaf or hard-of-hearing or have speech disabilities) Extended Testing Time (Note: All tests are timed.) __ 50 percent (time and one-half) __ 100 percent (double time; documentation required) If you are requesting more than 50 percent, documentation must be submitted. Extra Breaks __ Yes Assistance Note: If you are requesting a reader and/or a recorder/writer, you must submit documentation directly to E T S for review. __ Reader __ Recorder/writer of answers __ Braille slate and stylus (for note taking only)** (**Only applicants who are blind or have low vision) __ Perkins Brailler(for note taking only)** (**Only applicants who are blind or have low vision) __ Sign language interpreter (for spoken directions only)* (*Only applicants who are deaf or hard-of-hearing) __ Oral interpreter (for spoken directions only)* (*Only applicants who are deaf or hard-of-hearing) __ Printed copy of spoken directions (for paper-based tests only) Other Accommodations (describe). If you are requesting accommodations other than those listed above (e.g., separate room or calculator), you must submit documentation directly to E T S for review. ____ 12 Applicant's Name (please print) Last, First, M.I. ____ PART III - CERTIFICATION OF ELIGIBILITY A completed Certification of Eligibility (COE) will only be considered in lieu of disability documentation from qualified applicants requesting ONLY accommodations that are listed in number 4 on page 13. For any other accommodations (e.g., double time, separate room, reader, etc.) applicants must submit disability documentation directly to E T S for review. This form must be completed and signed by an authorized professional representing one of the following: --Office of Disability Services at test taker's college or university --Human Resources office at test taker's place of employment --Department of Vocational Rehabilitation (DVR) office in test taker's state of residence Forms completed and signed by a member of the applicant's family, or by the licensed and/or certified professional who diagnosed the disability, will not be considered. Directions for Completing the Certificate of Eligibility: The authorized professional should complete Part III only if able to initial points a-c below. a) ____ the documentation on file for the applicant is current according to the currency criteria set forth at www.ets.org/disabilities, meets all other E T S Documentation Criteria set forth on page 14 and supports the need for each of the requested accommodations; and b) ____ the applicant is currently using these accommodations (or has used them within the past three years) based on the stated disability at either a college/university, at a place of employment or in conjunction with vocational rehabilitation services; and c) ____ the applicant is requesting only accommodations that are listed in number 4 on page 13. Provide the following information regarding the disability documentation on file: 1. Name and credentials of professional who administered the most recent evaluation ____ 2. Applicant's diagnosed disability or disabilities, as stated in the documentation, for which accommodations have been granted ____ 3. Date of professional's most recent evaluation: Month ______ / Year______ Continued on next page. 13 Applicant's Name (please print) Last, First, M.I. ____ PART III - CERTIFICATION OF ELIGIBILITY (continued) 4. Only the accommodations in the following list can be approved on a COE. Indicate which of the following accommodations are supported by the documentation you have on file for the applicant. (Check all that apply.) Alternate Test Formats __ Braille __ Large-print test book** (**Only applicants who are blind or have low vision) __ Large-print answer sheet __ Audio recording** (*Only applicants who are blind or have low vision) __ Listening section omitted (TOEFL test only)* (*Only applicants who are deaf or hard-of-hearing) __ Speaking section omitted (TOEFL test only)*** (***Only applicants who are deaf or hard-of-hearing or have speech disabilities) Assistance __ 50 percent extended testing time (time and one-half) __ Extra break(s) __ Printed copy of spoken directions __ Sign language interpreter (for spoken directions only)* (*Only applicants who are deaf or hard-of-hearing) __ Oral interpreter (for spoken directions only)* (*Only applicants who are deaf or hard-of-hearing) __ Perkins Brailler (for note taking only)** (**Only applicants who are blind or have low vision) __ Braille slate and stylus (for note taking only)** (**Only applicants who are blind or have low vision) __ Screen magnification** (**Only applicants who are blind or have low vision) 5. During what period of time has the applicant used the above accommodations? From: (mm/dd/yy) __________ To: (mm/dd/yy) __________ 6. Where has the applicant used the accommodations? __ College/university __ Place of employment __ Other (indicate): ____ All requests for testing accommodations are subject to approval by E T S and must meet E T S's Documentation Criteria. For more detailed information and the policy statements for documentation of LD, ADHD, physical and psychiatric disabilities, please visit www.ets.org/disabilities. The E T S Vision Documentation Report form is on pages 15-16 of this Supplement. Continued on next page. 14 Applicant's Name (please print) Last, First, M.I. ____ PART III - CERTIFICATION OF ELIGIBILITY (continued) E T S Documentation Criteria If a COE is used, the documentation on file must satisfy E T S documentation criteria: Documentation for the applicant must: --be typed or printed in English on official letterhead and signed by an evaluator qualified to make the diagnosis (include information about license or certification and area of specialization); --clearly state the diagnosed disability or disabilities; --describe the functional limitations resulting from the disability or disabilities and how they are relevant to the testing situation; --include complete educational, developmental and medical history, including history of accommodations use, relevant to the disability for which testing accommodations are being requested; --include a list of all test instruments used in the evaluation report and relevant subtest scores used to document the stated disability. (This requirement does not apply to physical or sensory disabilities of a permanent or unchanging nature); --describe the specific accommodations requested; --adequately support each of the requested testing accommodation(s); --be current, depending on the disability. For specific currency requirements for different types of disabilities, please go to www.ets.org/disabilities. Verification Statement to be signed by authorized professional To be signed by an authorized person in the Office of Disability Services, a Human Resources counselor at place of employment or a Vocational Rehabilitation counselor. Note: The evaluator who conducted the testing cannot complete this form. I certify that the accommodations indicated in Part III are those that were documented as necessary and approved for the applicant. I certify that I have reviewed the Educational Testing Service (E T S) Documentation Criteria (including E T S policy statements and guidelines about LD, ADHD and psychiatric disabilities, if applicable), and that the applicant's documentation supporting the disability or disabilities and the need for specific accommodations meets those criteria and is on file in this office. For quality assurance, all COEs may be subjected to an audit resulting in a review of the actual disability documentation on file. In the event that E T S requests a copy of any of the documentation cited above, I agree to send E T S, for its consideration, the complete file of documentation pertinent to establishing the need for these accommodations. I understand that the applicant authorizes the release of this information pursuant to the applicant's verification statement. I also understand that if E T S determines at any time that the applicant's documentation does not meet E T S's Documentation Criteria, E T S will withhold or cancel the applicant's score(s). Signature of Authorized Person ____ Date ____ Print Name ____ Title ____ Name of Institution/Agency/Place of Employment ____ Telephone / TTY # ____ Fax # ____ E-mail Address ____ 15 Applicant's Name (please print) Last, First, M.I. ____ E T S VISION DOCUMENTATION REPORT FORM The Vision Documentation Report is composed of two parts: Part I addresses diagnosis, visual acuity, eye health and visual fields and must be completed by a qualified professional (an optometrist or an ophthalmologist) who is familiar with the candidate's disability and can address all relevant sections. The professional should refer to specific tests, clinical observations or other objective data and provide documentation of test results where relevant. Part II addresses the functional impact of the disability on processing speed, reading and/or test taking. This should be completed by an ophthalmologist or optometrist or by a psychologist or a reading or learning specialist with relevant training and experience. NOTE: If you are legally blind and will test exclusively with tactile or auditory input (braille, reader, recording), making no use of visual material, your evaluator need only complete Part I, sections A and B (current diagnosis and visual acuity). To prevent delays in the processing of accommodation requests, it is very important that all information provided be legible. Part I: Visual and Medical History A. Current Diagnosis (including a statement as to whether the condition is progressive or stable): B. Best Corrected Visual Acuities for Distance and Near Vision: Please complete only those sections below that are relevant to the candidate. C. Eye Health: D. Visual Fields: threshold fields, not confrontation (provide measurements and copies of reports) E. Binocular Evaluation: eye deviation (provide measurements), diplopia, suppression, depth perception, convergence, etc. Specify whether the client experiences difficulty with distance, near-point or both. Continued on next page. 16 Applicant's Name (please print) Last, First, M.I. ____ E T S VISION DOCUMENTATION REPORT FORM (continued) F. Accommodative Skills: at near point, with and without lenses (provide measurements) G. Oculomotor Skills: saccades, pursuits, tracking Part II: Functional Impact Describe how the individual's diagnosis and symptoms may impact his or her ability to take a standardized test. Please include a strong rationale for each of the requested accommodations. Recommendations cannot be supported solely by a history of prior accommodations. It may be appropriate to include: • standardized measures of reading rate and processing speed, • clinical observations, • the candidate's history and current use of support services, and/or • specific information concerning the individual's functioning in either a paper-based or a computer-based testing situation. (NOTE: Not all formats are available for all tests.) I certify that all of the information on this form is true and correct to the best of my knowledge. Signature ____ Print Name ____ License/Certification Number ____ Date ____ 000000-000000 Y00E00 Printed in U.S.A. I.N. 760467