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The student must be registered before the form is submitted.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What disabilities or circumstances qualify a student for extended testing time?",{"text":68,"@type":64},"The form lists visual, physical, learning, hearing, and “other” (described), as well as temporary conditions (described).",{"name":70,"@type":61,"acceptedAnswer":71},"What documentation must be submitted with the form?",{"text":72,"@type":64},"A copy of the supporting documentation must be included. 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Do not mail this form to the TACHS Examination Office. Students must be registered prior to the submission of this form. Forms must arrive by October 11, 2019.  \nPlease mail this form and accompanying documentation to:  \nDiane Phelan  \nDiocese of Brooklyn/Queens 310 Prospect Park West Brooklyn, NY 11215  \nMonica San Martin Archdiocese of New York 1011 First Avenue New York, NY 10022  \nStudent Name   Birth Date    \nLast First MI Month Day Year  \nMailing Address   Telephone \\#    \nNumber and Street Apt. Area Code Number  \nCity State Zip Code  \nCurrent Elementary School   Gender ❑ ❑  \nSchool Name School Code Male Female  \nREQUIRED: I have registered my child for the TACHS online or via telephone.  \nMy child’s TACHS ID is    \nEligibility  \n• Which disability qualifies the student for extended time?  \n❑ Visual ❑ Physical ❑ Learning ❑ Hearing ❑ Other (Describe)  \n❑ Temporary (Describe)  \n• What type of documentation states the need for extended time? (Time accommodation for TACHS is time and a half.)  \n❑ Current IEP or IESP—Student’s IEP must specifically state that extended testing time is an allowable accommodation and be dated within 12 months of the test dates.  \n❑ 504 Request/Plan (completed yearly) or current educational evaluation by medical/ psychological professional (completed within the past three years) which must specifically state that extended testing time is an allowable accommodation.  \n• A copy of the documentation must be submitted with this form. This application for extended time will not be processed without accompanying documentation.  \nParent and Principal Agreement: We, the undersigned, agree that the above information is correct, that this application shall be part of the applicant’s student record, and that the above-mentioned student is eligible to apply for extended testing time for the TACHS 2019.  \n\n| Parent or Legal Guardian’s Signature | Date |  |\n| --- | --- | --- |\n| Principal’s Printed Name | Area Code | Phone Number |\n\nPrincipal’s Signature Date","cbCaicBK30wLXhRZ","https://ap.wps.com/l/cbCaicBK30wLXhRZ","pdf",579342,"English","# Student Information\n## Eligibility Questions\n## Documentation Requirements\n# Parent and Principal Agreement","[{\"question\":\"Who must complete and submit the eligibility form for TACHS extended testing time?\",\"answer\":\"The parent or legal guardian must complete the form and mail it to the appropriate diocese. The student must be registered before the form is submitted.\"},{\"question\":\"What disabilities or circumstances qualify a student for extended testing time?\",\"answer\":\"The form lists visual, physical, learning, hearing, and “other” (described), as well as temporary conditions (described).\"},{\"question\":\"What documentation must be submitted with the form?\",\"answer\":\"A copy of the supporting documentation must be included. Acceptable options include a current IEP/IESP dated within 12 months that explicitly allows extended testing time, or a 504 request/plan completed yearly, or a current educational evaluation by a medical/psychological professional completed within the past three years that explicitly allows extended testing time.\"}]","Eligibility Form for Students Needing Extended Testing Time - TACHS 2019 | PDF",1790496786]