Ticket from Crystal Brown - Certification Exam

First Name: Crystal
Last Name: Brown
Email Address: cbrown@capmail.org
Phone Number: (715) 340-1839
Exam Name: HUD Counseling Certification Exam
Exam Type: Exam at a test center near you
Test Center Name: MSTC
Test Center Location : Wisconsin Rapids WI
First preferred date: Tue, 04/16/2024
First preferred time: 11:00 am
Second preferred date: Wed, 04/17/2024
Second preferred time: 11:00 am
Third preferred date: Fri, 04/19/2024
Third preferred time: 11:00 am
Accommodations requested for test center exam:
- 1 hour of additional time
- Multiple breaks
- Food and/or drink
- Private room
Reason for accommodation:
I have generalized anxiety disorder/anxiety attacks, Complex PTSD, and
bipolar 2 disorder. This can cause need for extended time to test (test
anxiety) and process things, as well as get up and walk around briefly,
stretch, ground myself by focusing on things around me, close my eyes and
refocus/breathe, take bathroom break, and/or get a drink or even candy/gum.
My Behavioral Health Dr note is attached.

email
cbrown@capmail.org
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