Application for Special Consideration

Supporting evidence will be required to support the online form. Please ensure that this
information is available

Section A – Examination Details

Examination Title:

Session
Paper(s) Affected: (AM/PM)

Date of the Exam DD MM YY

Section B – Candidate Details

Candidate Candidate Name:

Number:

If more than one candidate is affected, please supply candidate numbers below:

Candidate Candidate Name:

Number:
Candidate Candidate Name:
Number:
Candidate Candidate Name:
Number:
Candidate Candidate Name:
Number:
Candidate Candidate Name:
Number:

If more than 6 candidates are affected please record this information on a separate sheet.
Section C – Type of Application

Please indicate one of the following:

Candidate(s) present but Candidate(s) absent with good reason

disadvantaged – please complete section – please complete this
D or E: Section C

In addition if candidates were Please record details (inccluding

disadvantaged during the written papers which paper or mode waas missed) in
or the Speaking test complete Section the box immediately beloow.
D.

If candidates were disadvantaged

during a Listening test or Skills for Life
speaking and listening mode complete
Section E.

Please record details of which components were missed and why, completing on a separate sheet iif necessary:

Section D – Reading, Writing, Use of English and Speaking components Reasons for
Application (for candidates who were present but disadvantaged only):

Please record an account of the incident, completing on a separate sheet if necessary:

Section E - Problems during the Listening Test

Please complete Parts 1, 2 and 3 by indicating the most relevant box. Then provide a
detailed description of the problem in Part 4, giving as much information as possible.

External noise
Disruption/disturbance in room of examination

Please record the nature of the problem: Mechanical problem

Acoustic problem
Other:

Momentary
Affecting 2-3 questions
Affecting 1-2 parts
Duration of the problem:
Affecting whole Listening test
Affecting whole Listening section (Skills
for Life only)

Minor (e.g. slight echo, faint external

noise)
Moderate (e.g. echo, volume too low,
Severity of the problem:
distortion)
Severe (e.g. serious distortion, loud
external noise)

Please describe the issue here, continuing on a separate sheet if necessary.

NB This declaration should ONLY be entered online and endorsed by the CCentre
Exams Manager IF s/he supports the application and is satisfied that theree are
grounds for Special Consideration.