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It authorizes College Board to collect, use, store, and analyze disability-related information to determine eligibility for testing accommodations on SAT, PSAT-related assessments, AP, and CLEP. The student seeks permission for current or future test dates, and the school releases records documenting the disability and testing needs. The form also explains information use and disclosure under College Board privacy materials and the right to withdraw consent via a withdrawal form or account settings.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/consent-form-for-accommodations-request/538358/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/consent-form-for-accommodations-request/538358.png","ImageObject",300,407,{"name":92,"@type":93},"moss~","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-19","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the student consent authorize College Board to do?","Question",{"text":112,"@type":113},"The consent authorizes College Board to collect, use, store, and analyze disability-or accommodations-related information to make decisions about approved accommodations and to administer College Board tests with those accommodations.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What information may the student’s school release to College Board?",{"text":117,"@type":113},"The school is authorized to release copies of records documenting the existence of the disability and the need for testing accommodations, and to provide other requested information for determining eligibility.",{"name":119,"@type":110,"acceptedAnswer":120},"How can consent be withdrawn?",{"text":121,"@type":113},"Consent may be withdrawn by completing the Withdrawal of Consent Form and mailing or faxing it to College Board, or (for eligible residents) by using the College Board account’s Consent Management Preference in privacy settings.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},538358,1791722764,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","SERVICES FOR STUDENTS WITH DISABILITIES  \nConsent Form for  \nAccommodations Request  \nBy completing this form, you consent for College Board to process certain information to inform decisions about accommodations provided to students on any College Board tests that you choose to take, including SAT®, PSAT-related assessments, AP®, and CLEP® as further detailed below.  \nStudent Information:  \nStudent Name:  \n\n| Student Email:  |  |\n| --- | --- |\n| School: | Student Date of Birth: |\n\nStudent and Parent/Guardian Signature:  \nI seek to apply for testing accommodation(s) on College Board test(s) that I may choose to take now or in the future, including SAT, PSAT-related assessments, AP, and CLEP, due to disability. I authorize my school to release to College Board copies of my records that document the existence of my disability and need for testing accommodations; to release any other information in the school’s custody that College Board requests for the purpose of determining my eligibility for testing accommodationson College Board tests; and to discuss my disability and accommodation needs with College Board. I also grant College Board permission to receive and review my records and to discuss my disability and needs with school personnel (including the school I attend and school at which the College Board test[s] may be administered to me) and other professionals.  \nI understand and agree that any information and documentation my school may submit to support my request for accommodations will be used by College Board and its vendors, as applicable, to inform decisions about accommodations provided to me on any College Board test(s) I choose to take, including SAT, PSAT-related assessments, AP, and CLEP. I further understand that this information and documentation, as well as any approved or denied accommodations, may be used and disclosed by College Board, as detailed under the “Information Use and Disclosure” section of College Board’s Privacy Statement at [https://privacy.collegeboard.org/privacy-statement/info-use-disclosure](https://privacy.collegeboard.org/privacy-statement/info-use-disclosure. I understand that my consent)[. I understand that my consent](https://privacy.collegeboard.org/privacy-statement/info-use-disclosure. I understand that my consent) is necessary for College Board and its vendors, as applicable, to collect, use, store, and analyze my mental or physical health condition or diagnosis, including disability-or accommodations-related information, in order to make decisions about which accommodations may be approved by College Board and toadminister College Board test(s) to me with approved accommodations.  \nI understand that I have the right to withdraw the above consent at anytime by completing the Withdrawal of Consent Form available at [http://accommodations.collegeboard.org/request-accommodations/request/forms](http://accommodations.collegeboard.org/request-accommodations/request/forms), and mailing or faxing it to College Board at the address or facsimile number provided on the form. If I am a resident of a state that gives me certain privacy rights as indicated in College Board’s Privacy Center at [https://privacy.collegeboard.org](https://privacy.collegeboard.org and I have a personal College)[ and I have a personal College](https://privacy.collegeboard.org and I have a personal College)[ ](https://privacy.collegeboard.org and I have a personal College)[Board account](Board account), [I understand that I may also withdraw the above-described consent at anytime by logging](I understand that I may also withdraw the above-described consent at anytime by logging) in and accessing my Account Settings page at [https://my.collegeboard.org/](https://my.collegeboard.org/profile and then clicking on the Consent Management Preference)[profile and then clicking on the Consent Management Preference](https://my.collegeboard.org/profile and then clicking on the Consent Management Preference)[ ](https://my.colleg","cbCaisSXnMFHbm7z","https://ap.wps.com/l/cbCaisSXnMFHbm7z","pdf",129699,"English","# Student Information\n# Student and Parent/Guardian Signature\n# School Instructions\n# Privacy and Information Use and Disclosure","[{\"question\":\"What does the student consent authorize College Board to do?\",\"answer\":\"The consent authorizes College Board to collect, use, store, and analyze disability-or accommodations-related information to make decisions about approved accommodations and to administer College Board tests with those accommodations.\"},{\"question\":\"What information may the student’s school release to College Board?\",\"answer\":\"The school is authorized to release copies of records documenting the existence of the disability and the need for testing accommodations, and to provide other requested information for determining eligibility.\"},{\"question\":\"How can consent be withdrawn?\",\"answer\":\"Consent may be withdrawn by completing the Withdrawal of Consent Form and mailing or faxing it to College Board, or (for eligible residents) by using the College Board account’s Consent Management Preference in privacy settings.\"}]","Consent Form for Accommodations Request | PDF",1791606673]