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English as a Second Language (ESL) Request Form

Candidates for whom English is a Second Language (ESL) may Request additional examination time. Candidates who wish to Request additional time for ESL should fax this form to pearson VUE at 1-610-617-9397. Please attach a letter (on official letterhead) from an instructor or employer that verifies English is your Second Language . All requests must first be approved by pearson VUE. Candidates must wait for confirmation of the approval before scheduling an examination. Please Print Clearly Date: Last Name: First Name: : Address: City: State: Zip: Daytime Telephone: Email address: Examination Name: English as a Second Language additional time Exam Code (see back cover): User ID (Mandatory for ESL see ESL section of your candidate handbook f)

Candidates for whom English is a second language (ESL) may request additional examination time. Candidates who wish to request additional time for ESL should fax this form to Pearson VUE at

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Transcription of English as a Second Language (ESL) Request Form

1 Candidates for whom English is a Second Language (ESL) may Request additional examination time. Candidates who wish to Request additional time for ESL should fax this form to pearson VUE at 1-610-617-9397. Please attach a letter (on official letterhead) from an instructor or employer that verifies English is your Second Language . All requests must first be approved by pearson VUE. Candidates must wait for confirmation of the approval before scheduling an examination. Please Print Clearly Date: Last Name: First Name: : Address: City: State: Zip: Daytime Telephone: Email address: Examination Name: English as a Second Language additional time Exam Code (see back cover): User ID (Mandatory for ESL see ESL section of your candidate handbook for details) Candidates should contact pearson VUE with questions about additional time.

2 pearson VUE Accommodation Request / ESL 5601 Green Valley Dr Bloomington, MN 55437 Phone (800) 466-0450 Fax (610) 617-9397 Note: Only candidates who require additional examination time with ESL should complete this form . English as a Second Language (ESL) Request form


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