ELIGIBILITY FORM FOR STUDENTS NEEDING EXTENDED TESTING TIME - TACHS 2022 - Eligibility Form for Extended Testing Time

Sep 27, 2026

Uploaded by Liam

Eligibility form for students requesting extended testing time for the TACHS 2022 exam. Students must be registered before submission, and the completed form with required documentation must be emailed for Diocese approval before October 7, 2022. Approval verification is expected by October 14, and delayed or undelivered submissions are not the responsibility of the TACHS Exam Office or the Diocese. The form collects student details, disability qualification, documentation type requirements, and includes parent/guardian and principal agreement signatures.

LanguageEnglish

CategoryExam

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Submission Requirements

Student Information

Disability and Documentation Eligibility

Parent and Principal Agreement

ELIGIBILITY FORM FOR STUDENTS NEEDING EXTENDED TESTING TIME Students must be registered prior to the submission of this form. Complete this form and email it to the appropriate Diocese for approval. Forms will not be accepted after October 7, 2022. Any undelivered email or delayed forms are not the responsibility of the TACHS Exam Office or the Diocese. Approval will be sent via email. If you do not receive verification of approval for extended time by October 14, 2022, contact your aligned Diocese immediately. Absolutely no exceptions to or extensions of the deadline will be accepted/allowed. Please email this form and accompanying documentation to: Diane Phelan Diocese of Brooklyn/Queens (Brooklyn and Queens students) [dphelan@diobrook.org](dphelan@diobrook.org) Carmen Leon Archdiocese of New York (Bronx, Manhattan, Staten Island, Westchester, and Upper Counties students) [secondary.schools@adnyeducation.org](secondary.schools@adnyeducation.org) Diocese of Rockville Centre (Long Island) (Long Island students) [support-a@chsee.org](support-a@chsee.org) Student Name Birth Date Last First MI Month Day Year Mailing Address Telephone \# Number and Street Apt. Area Code Number City State Zip Code Current Elementary School Gender ❑ ❑ School Name School Code Male Female REQUIRED: I have registered my child for the TACHS online or via telephone. My child’s TACHS ID is Eligibility • Which disability qualifies the student for extended time? ❑ Visual ❑ Physical ❑ Learning ❑ Hearing ❑ Other (Describe) ❑ Temporary (Describe) • What type of documentation states the need for extended time? (Time accommodation for TACHS is time and a half.) ❑ Current IEP or IESP—Student’s IEP must specifically state that extended testing time is a mandated accommodation, and be dated within 12 months of the test dates. ❑ Student’s 504 Request/Plan (completed yearly) or current educational evaluation by a licensed medical or psychological professional (completed within the past three years) recommends the student receives extended testing time. • A copy of the documentation must be submitted with this form. This application for extended time will not be processed without accompanying documentation. Parent 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 2022. | Parent or Legal Guardian’s Signature | Date | | | --- | --- | --- | | Principal’s Printed Name | Area Code | Phone Number | Principal’s Signature Date

FAQs

Who needs to submit this form for TACHS extended testing time?

Students needing extended testing time must complete the eligibility form and submit it by email to the appropriate Diocese for approval. Students must be registered prior to submitting the form.

What are the key deadlines for submitting and confirming approval?

Forms must be submitted by October 7, 2022. If verification for extended time is not received by October 14, 2022, contact the aligned Diocese immediately. No exceptions or extensions to the deadline are allowed.

What documentation must be included with the eligibility form?

A copy of documentation must be submitted with the form. Acceptable documentation includes a current IEP/IESP stating extended testing time as a mandated accommodation (dated within 12 months), or a 504 request/plan or current educational evaluation completed within the past three years recommending extended testing time.

Sep 27, 2026

Uploaded by Liam