ࡱ> c lbjbjNN Ah$i$i= 8'l=.&OOOOO###-------c03T-##"###-OO^-$$$#8OO-$#-$$:(t)O`Q$n) - .0=.x)Rm3$m3))Fm3*##$#####--$###=.####m3######### Q: Dear Applicant Disability, Neurodiverse Condition (including Autism, ADHD, Dyscalculia, Dyslexia, Dyspraxia, or Developmental Coordination Disorder (DCD)), mental health condition or long-term health condition - Request for adjustments Thank you for your application to the University of Cambridge. We wish to ensure that, wherever possible, if you have any disability, neurodiverse condition, mental health condition or long-term health condition we make appropriate adjustments if you are invited for interview. We also wish to ensure that your interviewers are aware of any information that may be relevant in the context of your interview, Cambridge College registered written assessment or pre-interview reading/written tasks. If you have a disability, neurodiverse condition, mental health condition or long-term health condition please return this form by no later than 29 October 2024. We are aware that some prospective applicants are reluctant to disclose a disability but we would like to reassure you that the disclosure of a disability will in no way adversely affect the assessment of your application. If a completed form is not received, then the College will assume that you do not require any adjustments if invited for interview and none will be made, similarly if a completed form is returned after the deadline, then the College cannot guarantee that it will be possible to make the required adjustments in the time available before interview. Please have the information provided within the form confirmed by your teacher/tutor or another relevant member of staff at your school/college/university (or other appropriate specialist if you are no longer in education) and provide the appropriate evidence as requested. If you have a neurodiverse condition, please do NOT send a full Educational Psychologist report at this stage unless there is particular reference to the support you require that will help the College make appropriate adjustments to its assessment and selection procedures. If you have any queries please contact the College Admissions Office. We look forward to hearing from you.   Applicant name:Course (including Biological or Physical if Natural Sciences):UCAS Personal ID: Email address (the same as on UCAS application):School or college: Are there any adjustments you may require when being interviewed remotely? YES / NOAre there any adjustments you may require when taking any College written assessments remotely? YES / NOIf you have answered yes to either question, please complete the form in full. If you have answered No, please sign and date the bottom of the form and return it to College as soon as possible.  Do you require extra time? YES / NO If yes, please specify the percentage (e.g. 25%) ___% extra time Do you normally receive extra time in all subjects or in some subjects but not others? Please specify. Please specify the activities where extra time would be required (whether or not you are expecting them as part of the admissions process for your subject). Cambridge College registered written assessment (taken remotely) YES / NO Pre-interview reading YES / NO Pre-interview written task e.g problem solving questions YES / NO Responding to verbal questions asked during your remote interview (Please note that if you are granted extra time for your interview, you will not be asked any additional questions, just given extra time (if required) to answer the questions asked) YES / NO  If relevant, please give details of any further adjustments you may require, e.g. specific font/size of font; assistive technology or software: If you are invited for interview, is there any additional relevant information that would be of benefit to interviewers? For example, is there anything you would like us to know about how you communicate? If requesting an adjustment, please provide a signed letter (usually dated 2024) on headed paper from your current or most recent school or college, which should (as appropriate) confirm: your Disability / Neurodiverse Condition / mental health condition/ long-term health condition; the amount of extra time you require in public exams (e.g 25%); the amount of time for any rest breaks (this may be as a proportion of the total length of the exam, a number of minutes per hour, or a fixed number of minutes); any other accommodations you require in public exams; on what basis this has been agreed, for example a diagnosis from a qualified medical practitioner or an assessment by a registered psychologist or specialist teacher assessor Alternatively, a signed copy of the JCQ Form 8 (Application for Access Arrangements Profile of learning difficulties) or JCQ Form 9 (Profile of need) is acceptable. Please do NOT send a full Educational Psychologist report at this stage unless there is particular reference to the support you require that will help the College make appropriate adjustments to its assessment and selection procedures. If you are unable to provide the evidence above, please contact the 鶹ӾCollege Admissions Office for further advice.  Applicant signature Date: SCHOOL/COLLEGE I confirm that the information on this form is correct to the best of my knowledge: Signature of teacher or tutor: Date: School/college name: Email address:Position held:  Please complete and return this form to the 鶹ӾCollege Admissions Office by no later than 29 October 2024. If the form is not returned by 29 October 2024 then the College will assume that you do not require any adjustments if invited for interview.     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