Revised November 3, 2015 2015 – 2016 PROVINCIAL DIPLOMA EXAMINATION PROCEDURES FOR DISTANCE LEARNING STUDENTS Revised November 3, 2015 TABLE OF CONTENTS Diploma Examination Procedures..............................................................1 Diploma Examination Significant Dates for ADLC Students......................2 Grade 12 Diploma Examination Schedule............................................ 3 – 7 Writing Centres for Diploma Examinations.................................................8 Quest A+.....................................................................................................9 Diploma Rewrite Students..........................................................................9 myPass.....................................................................................................10 ADLC – Other Important Information........................................................11 Diploma Examination Registration Form..................................................13 Special Accommodations Information......................................................15 Application for Accommodations for Students with Special Diploma Examination Writing Needs........................................... 17– 18 Out of Province/Country Special Writing Centre Information...................19 Every effort has been made to ensure that the information contained in this booklet is accurate at the time of publication. Alberta Distance Learning Centre has no obligation to provide additional notice to students should diploma examination policies or dates of administration of diploma examinations be changed by Alberta Education, Learner Assessment Branch. Students may confirm examination dates by telephone: Phone toll-free at 1-866-774-5333 ext. 5255. Check Alberta Education's website for updates: http://education.alberta.ca/admin/testing/diplomaexams.aspx. Revised November 3, 2015 2015 – 2016 ALBERTA DISTANCE LEARNING CENTRE DIPLOMA EXAMINATION PROCEDURES FOR SENIOR HIGH STUDENTS Step One: Choose the course and diploma sitting in which you are interested. (pp. 3-7) Step Two: Complete the required personal information portion of the registration form (page 13). Then take the form to the school where you are writing the exam to have the school's information added. If you are writing at University of Alberta Dentistry/Pharmacy Building, 11304 – 89 Avenue NW, Edmonton, or the Southern Alberta Institute of Technology (SAIT) in Calgary, the school portion should be ignored. Step Three: Send the completed form to ADLC for processing. Step Four: Students must have their Alberta Student Number and a valid photo ID to be eligible to write the diploma exam. It is the student's responsibility to know exactly which diploma exam they need to be writing. Rewrites fees must be paid if you have written the diploma exam within the last two years. Rewrite students must register directly with Alberta Education, see page 9. Students with special needs must contact ADLC immediately. (Toll-free: 1-866-774-5333 ext. 5255) This information is subject to change by Alberta Education. Please access Alberta Education's website at http://www.education.alberta.ca/admin/testing/diplomaexams.aspx to confirm dates and writing centres. Page 1 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 Diploma Examinations 2015 – 2016 Significant Dates for ADLC Students Diploma Examination Session November 2015 January 2016 April 2016 June 2016 August 2016 Students must complete, and submit last gradable: October 16, 2015 See ADLC deadline for course completion below. March 25, 2016 See ADLC deadline for course completion below. See ADLC Deadline for course completion below. ADLC deadline for receipt of all accommodation requests for students with special diploma examination writing needs September 24, 2015 October 23, 2015 February 23, 2016 April 4, 2016 June 27, 2016 ADLC deadline for all diploma examination registrations September 24, 2015 October 23, 2015 February 23, 2016 April 4, 2016 June 27, 2016 ADLC deadline for course transfers September 24, 2015 October 26, 2015 February 25, 2016 April 15, 2016 June 24, 2016 ADLC deadline for course completion October 23, 2015* January 16, 2016 April 12, 2016* June 16, 2016‡ August 9, 2016‡ School administer diploma examinations according to the schedule November 2 - 9, 2015 January 13 - 28, 2016 April 6 - 14, 2016 June 13 - 28, 2016 August 3 - 11, 2016 Results Statements are distributed to students. Effective April 2015 transcripts will ONLY be available on myPass. November 20, 2015 Alberta Education deadline for receiving rescore results December 1, 2015 March 3, 2016 May 9, 2016 July 29, 2016 September 2, 2016 Rescore results are distributed to students December 8, 2015 March 21, 2016 May 13, 2016 August 24, 2016 September 12, 2016 February 22, 2016 April 29, 2016 July 18, 2016 August 24, 2016 Effective April 2015 transcripts will only be available on myPass. * Students who do not meet this deadline are not eligible to write November and April diploma examinations. ‡ Students who do not meet this deadline risk not having their school awarded mark blended with their diploma examination mark when Result Statements are distributed. Note: Alberta Education deadlines are subject to change. Page 2 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 Grade 12 Diploma Examination Schedule 2015 – 2016 School Year The grade 12 diploma examinations must be administered according to the dates and times indicated in this schedule. †Adjustments may not be made to examination starting times. All Part (ie) B examinations are secured. NOVEMBER 2015 ADLC Registration deadline is September 24, 2015 Monday, November 2 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part A English Language Arts 30-2 Part A Tuesday, November 3 9:00 to 12:00 p.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) A Social Studies 30-2 Part(ie) A Wednesday, November 4 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part B English Language Arts 30-2 Part B Thursday, November 5 9:00 to 11:30 a.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) B Social Studies 30-2 Part(ie) B 9:00 to 12:00 p.m. Mathematics 30-1 1:00 to 4:00 p.m. Chemistry 30 9:00 to 12:00 p.m. Biology 30 1:00 to 4:00 p.m. Physics 30 Friday, November 6 Monday, November 9 Alberta Distance Learning Centre course completion deadline is October 23, 2015. Page 3 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 Grade 12 Diploma Examination Schedule 2015 – 2016 School Year Continued The grade 12 diploma examinations must be administered according to the dates and times indicated in this schedule. †Adjustments may not be made to examination starting times. All Part (ie) B examinations are secured. JANUARY 2016 ADLC Registration deadline is October 23, 2015 Wednesday, January 13 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part A English Language Arts 30-2 Part A Thursday, January 14 9:00 to 12:00 p.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) A Social Studies 30-2 Part(ie) A Friday, January 15 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. Français 30-1 Partie A French Language Arts 30-1 Part A Tuesday, January 19 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part B English Language Arts 30-2 Part B Wednesday, January 20 9:00 to 11:30 a.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) B Social Studies 30-2 Part(ie) B Thursday, January 21 9:00 to 11:30 a.m. 9:00 to 12:00 p.m. Français 30-1 Partie B French Language Arts 30-1 Part B 9:00 to 12:00 p.m. Biology 30 Monday, January 25 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. Mathematics 30-1 Mathematics 30-2 Tuesday, January 26 9:00 to 12:00 p.m. Physics 30 Wednesday, January 27 9:00 to 12:00 p.m. Chemistry 30 Thursday, January 28 9:00 to 12:00 p.m. Science 30 Friday, January 22 Alberta Distance Learning Centre course completion deadline is January 9, 2016. Page 4 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 Grade 12 Diploma Examination Schedule 2015 – 2016 School Year (Continued) The grade 12 diploma examinations must be administered according to the dates and times indicated in this schedule. †Adjustments may not be made to examination starting times. All Part (ie) B examinations are secured. APRIL 2016 ADLC Registration deadline is February 23, 2016 Wednesday, April 6 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part A English Language Arts 30-2 Part A Thursday, April 7 9:00 to 12:00 p.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) A Social Studies 30-2 Part(ie) A Friday, April 8 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part B English Language Arts 30-2 Part B Monday, April 11 9:00 to 11:30 a.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) B Social Studies 30-2 Part(ie) B Tuesday, April 12 9:00 to 12:00 p.m. NEW Mathematics 30-1 Mathematics 30–2 Digital Only 1:00 to 4:00 p.m. Chemistry 30 9:00 to 12:00 p.m. Biology 30 1:00 to 4:00 p.m. Physics 30 9:00 to 12:00 p.m. Science 30* Digital Only Wednesday, April 13 Thursday, April 14 Alberta Distance Learning Centre course completion deadline is April 4, 2016. Page 5 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 Grade 12 Diploma Examination Schedule 2015 – 2016 School Year (Continued) The grade 12 diploma examinations must be administered according to the dates and times indicated in this schedule. †Adjustments may not be made to examination starting times. All Part (ie) B examinations are secured. JUNE 2016 ADLC Registration deadline is April 4, 2016 Monday, June 13 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part A English Language Arts 30-2 Part A Tuesday, June 14 9:00 to 12:00 p.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) A Social Studies 30-2 Part(ie) A Wednesday, June 15 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. Français 30-1 Partie A French Language Arts 30-1 Part A Thursday, June 16 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part B English Language Arts 30-2 Part B Friday, June 17 9:00 to 11:30 a.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) B Social Studies 30-2 Part(ie) B Monday, June 20 9:00 to 11:30 a.m. 9:00 to 12:00 p.m. Français 30-1 Partie B French Language Arts 30-1 Part B Tuesday, June 21 National Aboriginal Day – No Exams Scheduled Wednesday, June 22 9:00 to 12:00 p.m. Biology 30 Thursday, June 23 9:00 to 12:00 p.m. Chemisty 30 Friday, June 24 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. Mathematics 30-1 Mathematics 30-2 Monday, June 27 9:00 to 12:00 p.m. Physics 30 Tuesday, June 28 9:00 to 12:00 p.m. Science 30 ( French translation is digital only) Note: Tuesday, June 21 is Aboriginal Day – no examinations are scheduled. Alberta Distance Learning Centre course completion deadline is June 3, 2016. Page 6 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 Grade 12 Diploma Examination Schedule 2015 – 2016 School Year (Continued) The grade 12 diploma examinations must be administered according to the dates and times indicated in this schedule. †Adjustments may not be made to examination starting times. All Part (ie) B examinations are secured. AUGUST 2016 ADLC Registration deadline is June 27, 2016 Wednesday, August 3 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part A English Language Arts 30-2 Part A 1:00 to 4:00 p.m. 1:00 to 4:00 p.m. Français 30-1 Partie A French Language Arts 30-1 Part A Thursday, August 4 9:00 to 12:00 p.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) A Social Studies 30-2 Part(ie) A Friday, August 5 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. English Language Arts 30-1 Part B English Language Arts 30-2 Part B 1:00 to 3:30 p.m. 1:00 to 4:00 p.m. Français 30-1 Partie B French Language Arts 30-1 Part B Monday, August 8 9:00 to 11:30 a.m. 9:00 to 11:30 a.m. Social Studies 30-1 Part(ie) B Social Studies 30-2 Part(ie) B Tuesday, August 9 9:00 to 12:00 p.m. 9:00 to 12:00 p.m. Mathematics 30-1 Mathematics 30-2 9:00 to 12:00 p.m. Biology 30 1:00 to 4:00 p.m. Physics 30 9:00 to 12:00 p.m. Chemistry 30 1:00 to 4:00 p.m. Science 30 Wednesday, August 10 Thursday, August 11 Alberta Distance Learning Centre course completion deadline is August 1, 2016. Page 7 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 Writing Centres for the November, April and August Diploma Exams Barrhead – ADLC Main Campus (4601– 63 Ave.)...................................................... School Code – 0099 Calgary – Southern Alberta Institute of Technology (SAIT) (Contact Alberta Education for further information)................................................... School Code – 9996 Edmonton – University of Alberta, Dentistry/Pharmacy Building .............................. School Code – 1223 11304 – 89 Avenue NW For a list of other writing centres in August please go to: http://www.education.alberta.ca/media/6446780/dip-gib-2011-12-entire.pdf The writing centres are listed on page 20. Writing centres in Nunavut are designated as needed. Please contact Northwest Territories Education at 867-473-2612. Writing centres in NWT are designated as needed. Please contact Nunavut Department of Education at 867-920-6235. Writing Centres for the January and June Diploma Exams January 2016 and June 2016 Examinations These diploma examinations are administered in all accredited Alberta high schools that offer Grade 12 diploma examination courses. ADLC diploma students may choose to write at a high school or one of the writing centres listed below. For more information e-mail our exams department at exams@adlc.ca or call toll-free: 1-866-774-5333, ext. 5255. ADLC Writing Centres (January and June) Barrhead – ADLC Main Campus (4601– 63 Ave.)...................................................... School Code – 0099 Calgary – Southern Alberta Institute of Technology (SAIT) (1301–16 Ave. NW)........ School Code – 9996 Edmonton – January and June................................................................................ School Code – 1223 University of Alberta, Dentistry/Pharmacy Building Page 8 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 Quest A+ for the Southern Alberta Institute of Technology, Calgary, (SAIT) or University of Alberta Dentistry/Pharmacy Building, 11304 – 89 Avenue NW, Edmonton Students who want or need to use a computer for either Social Studies or English Language Arts Part A, the essay portion of these exams, and are attending the Southern Alberta Institute of Technology in Calgary (SAIT) Campus or the University of Alberta Dentistry/Pharmacy Building, 11304 – 89 Avenue NW, Edmonton must bring their own personal laptop. There are no available computers at these locations for student use. If you choose to use your personal laptop, it must be PC, Mac, or a Chromebook. The battery life must last for the duration of the exam which is typically three hours. We cannot guarantee a power outlet. Prior to the diploma exam, you must install the program Locked Browser. This is an Alberta Education requirement. How to Install Locked Browser? 1. Check and complete the following software updates: Adobe Flash Player 15 Microsoft Silverlight 2. Use Chrome or Internet Explorer only 3. Use this link to download Locked Browser for PC: https://www.dropbox.com/s/a5lwx1gdeg6dp4w/QAP Locked Browser Win v1.0.5.16 201310-22 Lab.exe Or the following link to download Locked Browser for a Mac: https://www.dropbox.com/s/zyaxeji14tixgd/QAP Locked Browser Mac v1.0.5.11 2013-0711.zip 4. Before using Locked Browser, be sure all group or team sharing programs are closed. All students must be pre-registered in order to write the Alberta Education diploma exam. Students must have their Alberta Student Number and valid photo ID to be eligible to write the diploma exam. It is the student's responsibility to know exactly which diploma they need to write. Diploma Rewrite Students The Alberta Distance Learning Centre cannot accept registrations from rewrite students. A rewrite student is a student who has previously written a diploma exam in the last two years. There is a $26.25 non-refundable processing fee ($50.00 fee for unfunded visiting students) for each diploma exam rewrite registration. To pay your rewrite fee and to register for the rewrite diploma exam please go online to http://www. education.alberta.ca/students/exams/rewrites.aspx Page 9 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 EFFECTIVE APRIL 2, 2015 Alberta Education introduced a secure self-service website for high school students. Students can access the following information: • • • • • • • View and print diploma exam results statements Order official transcripts View unofficial copy of transcript View progress toward a credential (diploma or certificate) View student information View and print a detailed academic report Order additional copies of credentials (diploma or certificate) To request access to myPass visit www.myPass.alberta.ca Page 10 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Revised November 3, 2015 ADLC – Other Important Information Alberta Distance Learning Centre Senior High Registration Guide 2015–2016 (available online at www.adlc.ca) contains other important information for diploma students, including Alberta High School Graduation Requirements. Studying: ADLC has provided an optional Internet resource for diploma exam study at www.exambank.com. Please contact your ADLC teacher for a username and password. Final Marks: To be eligible for credit in English 30-1, English 30-2, Social Studies 30-1, Social Studies 30-2, Mathematics 30-1, Mathematics 30-2, Biology 30, Chemistry 30, Physics 30, and Science 30, students must write the appropriate diploma examination and attain a final blended mark of 50% or higher. To obtain credit for these courses, students must complete both Parts A and B of the diploma examination within the same administration period. In addition to the diploma examination, students must also write a final exam set by Alberta Distance Learning Centre to qualify for the school-awarded portion of their mark. Mature students do not require a school-awarded mark. If adults have a school-awarded mark, Alberta Education grants the higher of the diploma exam or the blended mark as the final course mark. Contact Information – ADLC Exams Department If you have any questions or need more information, e-mail ADLC Exams Department at: exams@adlc.ca or call toll-free 1-866-774-5333, ext 5255. Page 11 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Diploma Examination Registration Form 2015 – 2016 Revised November 3, 2015 NOTE: All persons writing a diploma examination must have and provide their valid Alberta Education Student Number. ALBERTA STUDENT NUMBER Diploma examination registration deadline dates, by session: November 2015 session: September 24, 2015 January 2016 session : October 23, 2015 April 2016 session: February 23, 2016 June 2016 session: April 4, 2016 August 2016 session: June 27, 2016 SURNAME LEGAL FIRST AND MIDDLE NAMES OTHER NAME(S) KNOWN BY BIRTH DATE Year Month Day Sex M - Male F - Female TELEPHONE (eg. 95 jul 20) E-MAIL ADDRESS PERMANENT ADDRESS Apt/Street/Ave/P.O. Box/Route Village/Town/City Province Postal Code Diploma Examination(s) To Be Written English French November Diploma ADLC registration deadline September 24, 2015 January Diploma ADLC registration deadline October 23, 2015 April Diploma ADLC registration deadline February 23, 2016 June Diploma ADLC registration deadline April 4, 2016 August Diploma ADLC registration deadline June 27, 2016 Biology 30 Chemistry 30 English Language Arts 30-1 English Language Arts 30-2 Français 30–1 French Language Arts 30–1 Mathematics 30-1 Mathematics 30-2 Digital Only Physics 30 Science 30 Digital Only Social Studies 30–1 Social Studies 30–2 Notes: To request the use of a computer to write diploma examinations, you must contact the principal of the school at which you intend to write well in advance of the writing date. Some schools may not be able to accommodate your request. If you require accommodations for the writing of a diploma examination you must complete the Application for Accommodations form by the deadline date. You will find exam dates, times, forms, and other essential information in the ADLC diploma exam booklet on the website at www.adlc.ca. The General Information Bulletin is available on the Alberta Education website at http://education.alberta.ca/admin/ testing/diplomaexams.aspx. I will complete and submit all work for this course, including the final exam, before writing the diploma exam. Yes No Writing centre where you intend to write the examination(s): Writing Centre Name: _______________________________________________ Writing Centre Code:______________________ Writing Centre Principal’s Signature (if applicable) _______________________________________________________________ This form must be submitted to: ADLC Exams Department exams@adlc.ca Fax: 780-674-7593 Toll Free: 1-866-774-5333 ext. 5255 Revised November 3, 2015 Special Accommodations Information Alberta Education has approved the accommodations listed below for students with special diploma examination writing needs. Contact our Exams Department for further information, toll-free at 1-866-774-5333, ext. 5255. Accommodation 1: CD version for students with visual impairment Accommodation 2: CD version for students with learning or physical disability Accommodation 3: additional writing time Accommodation 5: scribe Accommodation 6: large-print version Accommodation 7: Braille version Accommodation 8: reader Accommodation 9: sign language interpreter Accommodation 10: taped response Accommodation 16: miscellaneous (Please specify on Principal’s/Chief Presiding Examiner’s Statement) If you require special accommodations for your diploma exam, please complete the Application for Accommodations form at the back of this booklet and send to exams@adlc.ca along with the applicable documentation to support the application (ie. IPP, Psychological Assessment). Page 15 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx Application for Accommodations for Students with Special Diploma Exam Writing Needs 2015–2016 ALBERTA STUDENT NUMBER SURNAME LEGAL FIRST AND MIDDLE NAMES Year Month Day SEX BIRTH DATE M–Male F–Female TELEPHONE (e.g., 95 Jul 20) Apt/Street/Ave/P.O. Box/Route PERMANENT ADDRESS Village/Town/City Province 1. Postal Code Exam administration session for which this request applies (use a separate application form for each session) November 2015; deadline for application: October 1, 2015 January 2016; deadline for application: November 2, 2015 April 2016; deadline for application: February 29, 2016 2. June 2016; deadline for application: April 8, 2016 August 2016; deadline for application: July 12, 2016 Requested accommodation(s) by exam (or exam part) and language For each exam or exam part to be written, indicate the language of the exam and identify the specific accommodation(s) being requested, by number, as indicated in the list and example below. Use the full exam name e.g., English Language Arts 30–1; Science 30. If requesting different accommodations for the part(ie) A and part(ie) B sections of a language arts or social studies examination, specify the accommodations for each part in a separate column e.g. Social 30–1 Part A; Social 30–1 Part B. No. 1 No. 2 No. 3 No. 4 No. 5 No. 6 No. 7 No. 8 CD for Visually Impaired Students CD for Students with Learning or Physical Disability Extra Time Frequent Breaks Scribe Large print Braille Reader Biology 30 Exam English French Exam English French Exam English French No. 9 No. 10 No. 11 No. 12 No. 13 No. 14 No. 15 No. 16 Sign Language Interpreter Recorded Response Franklin Language Master Coloured Paper Text-to-speech software Speech-to-text software Ambient noise Miscellaneous (specify) Exam English French Exam English French Exam English French # 2-CD #3-Extra Time #6-Large Print • School where the course(s) are or were taken School Name • School Code: Writing centre where the exam(s) will be written. Writing Centre Name School Code: Page 1 of 2 Alberta Education – Accommodation Request Form for School Year 2015–16 August 2015 Student Name: 3. Student ASN: Rationale for the requested accommodation(s) (see Special Cases & Accommodations section of the General Information Bulletin for details about the requirements for supporting documentation) This student is not registered with a current special education code and has a learning disability (attach supporting documents): This student has the following diagnosed chronic medical condition(s) (attach supporting documents): This student is requesting a unique accommodation, other than the listed accommodation types: 4. I attest that the history of use of the requested accommodation(s) for exam writing purposes is on file at the school _____________________________________________________________________________________________________ Process manager, signature, date 5. Student and parent/guardian declaration I was permitted and regularly used the requested accommodation(s) when writing exams for the course(s) for which the accommodation(s) is/are being requested. The information provided on this application form is true, accurate, and complete. Signature of Student Signature of Parent or Guardian (if student is under 18 years of age) 6. Date E-mail Address Date E-mail Address Application Process Manager sign-off To be completed by the principal of the Alberta high school the student is currently attending or his/her delegate. School Code School Name Name School Telephone Please Print E-mail Address Area Code Extension # Fax Number Area Code Signature Date The personal information collected on this form is being collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act, and will be used to administer and process the writing and/or rewriting of diploma exam(s). It will be treated in accordance with the privacy protection provision of Part 2 of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of this information, contact the Director, Exam Administration, at 780-427-0010 (to be connected toll-free within Alberta, first dial 780-310-0000). This form must be submitted to: Alberta Education, Special Cases and Accommodations 44 Capital Blvd. 10044 – 108 Street Edmonton AB T5J 5E6 E-mail: special.cases@gov.ab.ca Phone: (780) 427-0010 Fax: (780) 492-1153 To be connected toll-free within Alberta, dial 310-0000 Page 2 of 2 Alberta Education – Accommodation Request Form for School Year 2015–16 August 2015 Revised November 3, 2015 Out of Province/Country Special Writing Centre Information This process needs to begin as soon as you enroll in a diploma level course. Please be aware that your application to establish a Special Writing Centre does not guarantee its approval and you must be willing to travel back to Alberta to write your diploma examination should your writing centre be denied. 1. After enrolling in a Grade 12 Diploma Course, you are advised to contact ADLC Exam Department at exams@adlc.ca to begin the procedures required to establish a Special Writing Center. 2. Student and/or parent must identify a suitable exam supervisor. The proposed exam supervisor must: • Be a certified teacher fluent at reading and speaking either English or French, depending on the language of the examination(s) to be administered. • Work in the accredited school where the exam is to be administered. • Not have taught or tutored the student in the diploma exam subject, nor have a vested interest in the student’s successful completion of the course. • Provide a valid physical address to where diploma exam is to be delivered, delivery signature is required by courier. • Provide a valid e-mail address of school principal and proposed supervisor. This must be at the school's domain. Hotmail, Yahoo, and gmail types of e-mail addresses for supervisor and principal will not be accepted by Alberta Education. 3. Student/parent and proposed exam supervisor must review Alberta Education's directives, rules, and procedures associated with the establishment and writing of a diploma examination at a Special Writing Centre. These can be found at: http://www.education.alberta.ca/admin/testing/diplomaexams/diplomabulletin.aspx Click on Special Cases and read pages 5-9. 4. Student/parent and supervisor to complete appropriate instructions as required by ADLC Exams Department. Instructions will be forwarded after initial contact. Should you have questions about this process, please contact: Exams Department Alberta Distance Learning Centre Box 4000 Barrhead, Alberta, Canada T7N 1P4 E-mail: exams@adlc.ca Within Canada: 1-866-774-5333, Ext 5255 If you live outside of Canada, consult your Local Telephone Authority for Canada’s Country Code, and then dial 1-780-674-5333, Ext 5255. Page 19 DATES AND TIMES ARE SUBJECT TO CHANGE Refer to Alberta Education's website http://education.alberta.ca/admin/testing/diplomaexams.aspx adlc.ca 1-866-774-5333 info@adlc.ca Alberta Distance Learning Centre Box 4000 4601 – 63 Avenue Barrhead, Alberta T7N 1P4