Request to Waive Domain (2023-24)

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This form is to request that a student with a disability who is unable to access one or more domains on the ACCESS for ELLs assessment be exempted from the domain(s) they can't access, be assigned an appropriate online tier for Writing and Speaking if necessary, and to have an alternate Overall Composite calculated to account for the missing domain(s).

This waiver must be documented in the student's I7-ACCESS for ELLs/Alt. ACCESS for ELLs form.

Email *

Your Name *

Your Email Address *

Your District *

Your Position *

Student's WISEid *

Have you verified that the student's I7-ACCESS for ELLs/Alt. ACCESS for ELLs form requires this waiver? *

Yes

Domain(s) to be waived *

Listening

Reading

Writing

Speaking

Required

If applicable, Tier to be assigned for Writing/Speaking *

Tier A

Tier B/C

N/A

Submit

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