Confidential student statement Access arrangements and reasonable adjustments (AARA)

A student may complete this statement as part of an application for AARA. The information provided needs to be current and relate to the relevant assessment period.

Information provided in this statement is treated in the strictest confidence and is only used for the purpose of determining the AARA application.

Fill out all fields and sign the last page. Submit this statement as part of an AARA application via the QCAA Portal.

Student details
Student name:
School:
LUI:

Provide a brief history of your disability, impairment and/or medical condition, including symptoms.
Comment on how the disability, impairment and/or medical condition affects your daily functioning in the classroom.
Describe how the disability, impairment and/or medical condition is a barrier to your access to the assessment and/or to your ability to communicate a response to assessment.
What kind of arrangements help you to be able to complete assessment, e.g. extra time, rest breaks, assistive technology?

Student signature:	Date:	/ /
Parent/carer signature (if student is under 18):	Date:	/ /