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What are Testing Accommodations?

Supports for SAT, ACT, AP, IB, College, and Beyond

Testing accommodations don’t change what your child is expected to know — they change how they’re able to show what they know.

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When kids hit high school, big tests start showing up: the SAT, ACT, AP exams, and IB assessments. These tests often play a role in college admissions and can be stressful for any teenager. For students with ADHD, autism, learning differences (like dyslexia), anxiety, or medical needs, the pressure can feel even heavier.

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The reassuring part is: accommodations are available. These supports don’t give your child an unfair advantage — they make sure your teen has a fair shot to show what they’ve learned, without unnecessary barriers.

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Why Do They Ask for So Much Proof?

Parents often say: “My child already has an IEP or 504 — why do we need to go through this again?”

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This is why keeping school paperwork (IEPs, 504s, private evaluations) up to date is so important — you don’t want to be scrambling for documentation right before deadline.  This is what is required:

The need is documented.

Usually through an evaluation or doctor’s note.

The support matches the need.

Example: slow reading speed → extended time.

The student is already using it in school.

Not just asking for it on test day.

It feels like extra hoops, but once approved, many accommodations carry across multiple exams (for example, SAT and AP). That makes future test prep smoother.

SAT and AP Exams (College Board)

Who Oversees It

How to Apply

  • Talk to your school counselor (or SSD coordinator). They submit the request online.  You may also submit the request.  

What You’ll Need

Examples of Supports

  • Extended time (50% or 100%).
     

  • Breaks as needed.
     

  • Small group or separate room.
     

  • Computer for essays.
     

  • Large print or braille versions.

Timeline

  • Apply 2–3 months before the test.
     

  • Once approved, the same accommodations apply for SAT, PSAT, and AP exams.

Useful Links

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ACT

Who Oversees It

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  • Separate from the College Board. Because ACT and College Board don’t share information, you need to apply separately for each.

How to Apply

  • Your school counselor/testing coordinator submits the request.

What You’ll Need

  • An IEP, 504, or private evaluation.
     

  • Documentation showing how the disability impacts test-taking.
     

  • Requested supports should match what your child already uses at school.

Examples of Supports

  • Extended time.
     

  • Small group or individual setting.
     

  • Extra breaks.
     

  • Computer for essays.
     

  • Large print, braille, reader, or scribe.

Timeline

  • Apply at registration, ideally 3 months ahead.
     

  • Once approved, the accommodations stay valid for all future ACT tests.

Useful Links

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International Baccalaureate (IB)

Who Oversees It

  • Overseen by IB Access and Inclusion

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  • Covers IB exams (usually taken in junior/senior year)

How to Apply

  • Work with your child’s IB coordinator at school. Parents can’t apply directly. Requests go through the school — families can’t submit directly, so start the conversation early with the IB coordinator.

What You’ll Need

  • A recent evaluation (within 2 years).
     

  • Proof that the support is already being used in school.
     

  • Clinician’s letter if the need is medical or emotional.

Examples of Supports

  • Extra time.
     

  • Rest breaks.
     

  • Use of a computer.
     

  • Reader, scribe, or assistive technology.
     

  • Large print or braille exam papers.

Timeline

  • Requests must be in 6 months before exams (usually fall of senior year).

Useful Links

Parent Checklist (When to Do What)

8th–9th grade

Save all school evaluation reports, IEPs/504s, and private evaluations in one folder. You’ll need these later for applications.

Freshman/Sophomore Year
(9th–10th grade)

Update evaluations if older than 3–5 years.

Make sure your child is using their accommodations at school.

Meet with the counselor/testing coordinator to plan.

Sophomore Year

Apply for College Board (SAT/PSAT/AP) accommodations.

Apply for ACT accommodations if your child may take it.

Junior Year

Double-check approvals before registering.

Save the approval letters/codes in one safe place.

If your child is in IB, meet with the coordinator at least 6 months ahead.

Senior Year

Confirm accommodations are listed on exam tickets.

Talk through with your teen what supports they’ll actually use.

College classroom

What About College and Beyond?

Supports don’t stop after high school. Students can get accommodations in college, graduate school, and even professional exams.

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In College

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  • Not automatic: IEPs and 504s don’t transfer. Students register with the college’s Disability Services Office.
     

  • Documentation: Colleges usually require a recent evaluation or medical letter. High school records help but aren’t enough.
     

  • Student responsibility: In college, students must apply for themselves through Disability Services. Parents can’t apply on their behalf — but you can help your teen gather paperwork, practice self-advocacy, and get comfortable explaining their needs

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  • Common supports: extended time, quiet test rooms, note-taking help, captioned/recorded lectures, priority registration.

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Note: Colleges cannot disclose accommodations. This support use does not appear on transcripts or diplomas

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See College Students’ Rights

Graduate & Professional Exams

Exams like the GRE, LSAT, MCAT, GMAT, bar exam, and medical board exams also offer accommodations.

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Note: Each exam has its own process and timeline, so it’s best to start at least 6 months in advance.

What’s required:

  • Updated evaluations (usually within 3–5 years).
     

  • Clear evidence of impact on test-taking.
     

  • Proof of past accommodations can strengthen the request.

Supports may include

  • Extended time

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  • Breaks

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  • Separate rooms

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  • Assistive technology

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  • Large print or braille formats

Parent Takeaway

Accommodations are about fairness, not advantage. They allow your child to show their true skills without being limited by challenges that don’t reflect their knowledge.

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  • Start early — applications take time.
     

  • Keep evaluations current — recent documentation makes things smoother.
     

  • Work with your school team — counselors and coordinators know the system.
     

  • Plan for the long term — approvals in high school help lay the groundwork for college and beyond.
     

With the right preparation, your child can approach these milestones with confidence, knowing the focus is on their knowledge and growth — not on unnecessary barriers.

Frequently Asked Questions About Testing Accommodations

The Neurodevelopmental Collective

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Disclaimer: All information provided on this website is for educational purposes only and is not a substitute for professional medical judgment. Please consult a qualified healthcare professional for personalized advice or treatment.

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