American Reflexology Certification Board ®

Setting the highest testing standards to which Professional Reflexologists aspire since 1991.

TRANSLATOR ACCOMMODATION DETAILS

By submitting and signing this form, I attest that English is a second language for me and I require a translator to attend the ARCB^® examination with me for purposes of translating the following portions:

Written

Practical

Both

I understand that payment of the translator’s fees and travel expenses (if any) is my responsibility and will not be paid or reimbursed by ARCB^®. I understand that the translator I select and bring with me may not be a Reflexologist nor may they have any healthcare education such as training in anatomy and physiology.

My selected translator is:

Name

Phone

Profession

DISABILITY-RELATED ACCOMMODATION DETAILS

The information requested below and any documentation accompanying it will be considered strictly confidential and will not be shared with any outside source without your express written permission.

I understand my Request for Accommodation is not complete until I have downloaded the Documentation of Disability-Related Needs form, had it completed by the appropriate professional and submitted it by mail to the ARCB^® office.

American Reflexology Certification Board ®

ACCOMMODATION REQUEST FORM

APPLICANT INFORMATION

Select the type(s) of accommodation requested and complete the appropriate section below

TRANSLATOR ACCOMMODATION DETAILS

My selected translator is:

DISABILITY-RELATED ACCOMMODATION DETAILS