DISABILITY RESOURCE CENTER 146 HAHN STUDENT SERVICES (831) 4592089

DISABILITY SERVICES – BUSCH STUDENT CENTER SUITE 331
GUIDANCE ON DISABILITY AND REASONABLE ADJUSTMENTS INTRODUCTION
OFFICE OF AGING AND DISABILITY SERVICES CRISIS

SPEECH LANGUAGE COMMUNICATION AND NEURODISABILITY SCREENING TOOL THE
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Disability Resource Center 146 Hahn Student Services (831) 459-2089

Disability Resource Center 146 Hahn Student Services (831) 459-2089

Exam Assistant Applicant Information

Supplemental Application


Name: ______________________________ Student ID# ____________________________


GPA: _____________ (Must be 3.0 or above to be eligible) College: ___________________________


College Level: FR SO JR SR (circle one) Major: ___________________ Minor:_______________

DISABILITY RESOURCE CENTER 146 HAHN STUDENT SERVICES (831) 4592089

Be advised the following information will be shared department exam coordinators and clients:



Phone: __________________________________ type: _______________


e-mail address: ________________________________ @ ucsc.edu



DISABILITY RESOURCE CENTER 146 HAHN STUDENT SERVICES (831) 4592089


1. List three traits that would make you a good Exam Assistant:



1.


2.


3.



2. Please write the following passage on the lines provided:


“It was the best of times, it was the worst of times; it was the age of wisdom, it was the age of foolishness; it was the epoch of belief, it was the epoch of incredulity; it was the season of Light, it was the season of Darkness; it was the spring of hope, it was the winter of despair; we had everything before us, we had nothing before us; we were all going direct to Heaven, we were all going direct the other way.”

























3. Draw a figure in each of the boxes from the following instructions:


Make three circles evenly spaced in one row. Label them a, b, and c across the bottom of the box. All the circles should be the same size. Draw a dotted line across the middle of each circle from top to bottom. Draw an arrow between a and b, pointing from a to b. Draw an arrow between b and c, pointing from b to c. Draw another arrow between b and c, this time pointing from c to b below the arrow you already drew.”

DISABILITY RESOURCE CENTER 146 HAHN STUDENT SERVICES (831) 4592089









Make an upside down U about an inch high on the far left side of the box. Draw three pea size circles in a line like Orion’s belt in the middle of the box. Draw a large circle, about the same size as the upside down U, on the far right side of the box. Draw a line from the center of the circle to the left edge of the circle towards the little circles at about the middle of the circle. Draw another line from the center of the circle to the edge of the circle sort marking south/west. Draw a chevron line at the bottom of the upside down U connecting one end to the other.”

DISABILITY RESOURCE CENTER 146 HAHN STUDENT SERVICES (831) 4592089









-BASIC AGREEMENT-


I agree to keep all information regarding my test-takers confidential as well as any other information I may see or overhear while in the DRC office.

I understand that this is an on-call position, work hours are not guaranteed.

I agree to promptly respond to e-mails from the DRC inquiring about my availability to work exams with one of these responses: 1) I am available, 2) I am not available, or 3) I am available but do not have the required subject area knowledge.

I understand it is my responsibility to update the Accessible Technology Coordinator with any schedule changes immediately.

I agree to submit time sheets on a by-weekly basis, even if I have worked no hours (report “.25” hours), on a timely basis.

I agree to check-in at the DRC 45min prior to any assigned exam, and arrive promptly to the exam room 15min. prior to the scheduled exam start time.

I agree to maintain an appropriate test environment and observe proctoring protocol.

I agree to provide unbiased scribe/reader services without making editorial changes or personal judgments.

I agree to deliver completed exams to the designated location, sealed in the envelope provided, immediately after the exam is completed and submit appropriate paperwork to Adaptive Technology Coordinator for data entry and service tracking.

I agree to complete employment forms at Career Services if not currently in the University Payroll System (PPS).

I understand I can not work or be paid if I am not enrolled in the University Payroll System (PPS).

I understand that if I am a non U.S. citizen it is my responsibility to inform Career Services and provide appropriate documentation of eligibility to work when completing employment forms.


I have read and understand the Exam Assistant Applicant Information Sheet. I have read and understand the above policies.

A Exam Assistant Signature Date


103 DISABILITY IN THE MIDDLE AGES REPRESENTATIONS OF PHYSICAL
15 TONYA STREMLAU DEAF GAIN? DISABILITY DISCLOSURE AND THE
2 DISABILITY WHITE PAPER ACCESS ASSOCIATION OF DISABLED


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