Form C
(Application for Candidates with ASC)
Candidates should fill in the General Application Form A and the relevant application form
according to the impairment for which the application is being made. All relevant
certification and documentation should be attached and submitted to the MATSEC Support
Unit.
Please read carefully
It should be noted that deadlines for applying for MATSEC examination access arrangement (EAAs)
are not extended in the same way as deadlines for the registration of MATSEC examinations. The
deadlines for EEAs need to be respected since the process involved in vetting access arrangements is
different and longer. Moreover, the committee processing requests for access arrangements needs to
forward the arrangements to the Examinations Department that is responsible for making the
arrangements. It would be difficult to provide resources, which include physical space and
Examination Access Arrangements Support Assistants (EAASAs), if approval is given late.
•
Candidates should check the MATSEC website for the dates by which applications for access
arrangements should be submitted without assuming they are the same as the deadlines for
registrations for examinations. Refer to Table 3 on p. 20 of the “Guidelines for MATSEC
Examination Access Arrangements, 2015.
•
Students may apply early in February of Form 4.
•
Applications for those sitting for the Matriculation Examinations in September for the first
time must apply by the 15th of June (or before if 15th June falls on a Saturday or Sunday).
L-UNIVERSITA` TA’ MALTA
UNIVERSITY OF MALTA
Form C
Application for Candidates with Autism Spectrum Condition (ASC)
Candidate’s Details
ID. Number:
Date of Birth:
Last Name:
First Name:
Condition:
Did the candidate sit for any SEC exams previously?
Yes
No
Please give details if previous examination access arrangements were granted by the ADSC.
Author/s of this report
Last Name:
First Name:
Qualifications:
Warrant No:
Are you a qualified psychologist?
Yes
No
If you have answered NO to the previous questions, please explain how you deem your
qualification(s) to be appropriate for the certification required:
I declare that the contents of this report are accurate:
Date:
Signature:
Examination Access Arrangements Requested:
Room with fewer students
Extra Time
Prompter
Other, please specify
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Supervised rest breaks
ASC Assessment Scores
Candidate’s Cognitive Profile (fill in where relevant)
Year
IQ/GCA
Verbal
Performance
Non Verbal
Spatial
Other
Please provide a summary of the outcome of the psycho-educational assessment and state
the date when it was undertaken:
Which test was carried out to diagnose ASC?
Date:
Social Responsiveness Scale (SRS)
The Childhood Autism Rating Scale (CARS)
The Autism Diagnostic Observation Schedule (ADOS)
The Diagnostic Interview for Social and Communication Disorders (DISCO)
The Autism Diagnostic Interview – Revised (ADI – R)
Other validated instruments (specify)
Results of assesments
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