New section New section This application is submitted for: AAMC PREview Exam Accommodations Before completing this application, please read about the standard PREviewTM Professional Readiness Exam conditions. If you believe you have a disability, impairment, or medical condition that requires an adjustment to the standard conditions for the AAMC Professional Readiness Exam, please apply for accommodations as soon as possible. Biographical Information Please provide your biographical information: First Name: Last Name: AAMC ID Email Address: Phone Number Current MCAT® Accommodations Status Please tell us your current status related to requesting accommodations for the MCAT exam. When applicable, we will rely on your MCAT accommodations application or documentation submitted with your MCAT accommodations application. I have an unexpired approval (valid through the 2024 testing year) for MCAT accommodations AND I am not requesting accommodations that differ from my MCAT accommodations approval. (Processing Time: 30 days) I have an unexpired approval (valid through the 2024 testing year) for MCAT accommodations and I am requesting additional or different accommodations than those I received for the MCAT exam. (Processing Time: 60 days) I have a current application (Initial or Extension) pending for MCAT accommodations. (Processing Time: 60 days) I do not have a current approval or pending application for MCAT accommodations. (Processing Time: 60 days) I have a previous approval for PREview Accommodations and am requesting an extension. (Processing Time: 30 days) Year of Approval Requires submission of documentation to previewaccommodations@aamc.org in addition to your application. For documentation guidance please visit the PREview Accommodations webpages. Any submitted PREview accommodations documentation does not replace documentation required for a future MCAT Accommodations Application. May require submission of documentation to previewaccommodations@aamc.org in addition to your application. For documentation guidance please visit the PREview Accommodations webpages. Any submitted PREview accommodations documentation does not replace documentation required for a future MCAT Accommodations Application. Processing time begins when the AAMC receives your complete application, including required supporting documentation (if applicable). Accommodations Please tell us what accommodations you believe you need to take the AAMC PREview exam. 1. Extended TimeRegular time + 25%Regular time + 50%Regular time + 100% Personal ItemsMedicationDiabetic SuppliesFood Other Accommodations Break Time Scribe Other Please describe what other accommodations you believe you need 2. Nature of your current impairment(s) that may require accommodations (check all that apply)Learning disability ADHDPsychiatric impairmentSensory (e.g. visual or hearing) impairment Acquired brain injury (ABI)Diabetes or other medical condition that requires medicationPhysical impairment (including chronic medical conditions, e.g., Crohn's disease, pain due to a physical condition or injury, etc.)Other Please describe what other impairments you have that may require accommodations 3. Briefly explain why you believe the requested accommodations are necessary for you to take the AAMC PREview exam 4. What previous accommodations have you received? You may skip this question if you have previously been approved for MCAT accommodations for the same impairment(s) as noted above. Certification and Authorization Check the following boxes to indicate acceptance of the terms related to your request for accommodations for the AAMC Professional Readiness Exam.I understand that the AAMC, at its sole discretion, may require me to provide supporting documentation regarding my accommodations request, and I agree to promptly provide such required documentation. Further, when appropriate, I understand my information may be disclosed to qualified independent reviewers for the purpose of evaluating my eligibility for accommodations. Cert and Auth 2I understand that my request for accommodations, including this form and any requested supporting documentation, must be received by the AAMC sufficiently in advance of my taking the assessment, to provide adequate time to evaluate and process my request. Cert and Auth 3I acknowledge and agree that the information I submit related to my accommodations request may be used for research purposes pursuant to the AAMC Privacy Statement and the AAMC Policies Regarding the Collection, Use, and Dissemination of Medical Student and Applicant Data. By signing below, I certify that all forgoing information in this form is true and complete to the best of my knowledge. Typed Name Typed date New section SHARE: