Ticket from Crystal Brown - Certification Exam

Submitted on Monday, November 6, 2023 - 12:53
Submitted by user: Crystal Brown
Submitted values are:

==Request Form==
First Name: Crystal
Last Name: Brown
Email Address: cbrown@capmail.org
Phone Number: (715) 340-1839
Exam Name: HUD Counseling Certification Exam
Exam Type: Online Exam
First preferred date: Thu, 11/30/2023
First preferred time: 12:30 pm
Second preferred date: Fri, 12/01/2023
Second preferred time: 12:30 pm
Third preferred date: Thu, 12/07/2023
Third preferred time: 12:30 pm
Accommodations requested for online exam:
- 1 hour of additional time
- Multiple breaks
Reason for accommodation: I have testing anxiety along with PTSD, and bipolar
disorder with BPD tendencies. This can cause need for extended time to test
and process things, as well as get up and walk around briefly or get a drink.
Behavioral Health Dr note attached.
Upload documentation:
https://hudhousingcounselors.hud.gov//system/files/webform/CB%20Extra%20Test%20Time%20Dr%20Note%2011.3.2023..pdf

The results of this submission may be viewed at:
https://hudhousingcounselors.hud.gov//node/19671/submission/3071

email
cbrown@capmail.org
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