Exam Accommodations: Extra Time and Alternatives

GuideUpdated October 27, 20268 min read

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For many students, the exam room is where a disability or health condition has the biggest effect. A student with dyslexia may understand a subject well but need longer to read the questions. A student with anxiety may freeze in a large, silent hall. A student with a chronic illness may need to rest during a long paper.

A student with a visual impairment cannot read a standard exam paper at all. Exam accommodations exist to remove these barriers, so that the exam tests what you know, not how well you can handle conditions that were never designed with you in mind.

Policies differ by college and country. This guide uses no figures, gives no legal or medical advice and is general information. Always follow your own college's procedures.

What exam accommodations are

Exam accommodations are adjustments to the conditions or format of an assessment that reduce barriers caused by a disability, without changing what the exam measures. They are decided by the disability office, based on evidence and a conversation with you. They are not a favor, and they do not lower the standard.

Our guide to how to get accommodations at college explains how to register and request them.

Common accommodations

Accommodation What it involves Often used for
Extra time A percentage or fixed amount added to the standard time Learning differences, ADHD, processing and motor difficulties, fatigue, anxiety
Separate or quiet room Taking the exam away from a large hall Anxiety, ADHD, autism, sensory sensitivities, medical needs
Rest breaks Stopped time or extra time for breaks Chronic illness, pain, fatigue, medical needs
Reader A person who reads the questions aloud Dyslexia, visual impairment
Scribe A person who writes or types your answers Physical disabilities, severe writing difficulties
Assistive technology Computer with software such as text-to-speech or speech recognition Dyslexia, visual impairment, physical disabilities
Alternative formats Large print, braille, colored paper, digital papers Visual impairment, visual stress, dyslexia
Sign language interpreter or captioning For oral or auditory content Hearing impairment
Permission for items Food, medication, a cushion, medical devices or an adapted chair Medical needs
Rescheduling Exams moved to a different time or date Health conditions, medical treatment
Prompts and reminders Notices of time or breaks ADHD, anxiety, autism

Not every option is offered by every college.

Extra time

Extra time is the most common accommodation.

  • How much: decided by the disability office, often as a percentage of the standard time, and based on your evidence and needs.
  • How it works: you stay in the exam room, or a separate room, for the extended period.
  • What it is for: to give you time to read, process, organize and write, or to rest.
  • Rest breaks may be stopped-clock breaks, where the time stops, or additional time.
  • It does not guarantee a result. You still have to do the work.

Ask the office how your time is calculated, and whether you can have different time for different types of exam, such as practical or oral assessments. Our guide to studying with dyslexia and

Separate and quiet rooms

A separate room can reduce distraction and stress.

  • Smaller rooms with fewer people can help with anxiety, attention and sensory needs.
  • Rooms with lower noise or lighting can help with sensory sensitivities, including those linked to autism.
  • Rooms near restrooms or with seating can help with medical conditions.
  • Rooms where you can use technology, such as a computer or voice software, without disturbing others.

Ask about how rooms are allocated, and who will supervise. If your needs are specific, say so.

Readers, scribes and technology

  • Readers read questions aloud, and may be allowed to repeat them. They do not explain or interpret.
  • Scribes write what you dictate. You must be clear about punctuation and spelling, depending on rules.
  • Technology such as text-to-speech or speech recognition may be allowed, on a clean computer without internet.
  • Practice beforehand. Working with a reader, scribe or software takes skill, and you should not try it for the first time in an exam.

Check what is allowed in your college. Some exams, such as language tests or spelling tasks, may have specific rules.

Alternative assessments

Sometimes a standard exam is not the right way to assess you.

  • Coursework instead of an exam, where the course learning goals allow.
  • Oral exams or recorded responses, instead of written ones.
  • Take-home or open-book formats.
  • Smaller assessments spread over time, instead of one large exam.
  • Alternative presentation arrangements, such as presenting to the instructor only.

Alternatives must still test the same learning outcomes, so they may not always be possible. Ask the disability office early. Instructors and departments often have to agree.

Booking and arranging

Accommodations rarely happen automatically.

  1. Register with the disability office, and agree your accommodations.
  2. Check deadlines for each exam period. They are often several weeks before.
  3. Submit exam requests by the deadline, through the system your college uses.
  4. Confirm the details: date, time, room, technology and support staff.
  5. Check your timetable. Extra time may mean a later finish or a clash with another exam.
  6. Ask what to bring and what to expect.
  7. Reconfirm closer to the date.

Missing the deadline is one of the most common reasons that accommodations fail. Put dates in your calendar.

Preparing for exams with accommodations

  • Practice under similar conditions: with the same extra time, technology and format.
  • Know your plan for time, including how to use the extra minutes.
  • Visit the room, if possible.
  • Check technology works.
  • Sleep and eat well.
  • Review how you will use breaks.
  • Plan how you will answer if you use a reader or scribe.

On the day

  • Arrive early, and find your room.
  • Check with the invigilator that your accommodations are in place.
  • Tell them immediately if anything is missing or wrong.
  • Use your time, including breaks, as planned.
  • Read the paper carefully, and plan your answers.
  • If you feel unwell or overwhelmed, tell the invigilator, and use your break provisions.
  • After the exam, note any problems, and report them quickly.

If arrangements fail

Sometimes things go wrong: a room is not available, a reader does not arrive, technology fails or the exam is held at the wrong time.

  • Tell the invigilator at once. Do not stay silent.
  • Ask for the problem to be recorded.
  • Contact the disability office as soon as possible, ideally the same day.
  • Ask about a resit, remedy or special consideration. Procedures vary.
  • Keep records: emails, notes and dates.
  • Use formal complaint or appeal procedures if needed.

Do not assume that nothing can be done. Many colleges have processes to address failures, if you report them promptly.

Fairness

Some students worry that extra time is unfair. It is not.

  • It removes a barrier, so that your exam result reflects your knowledge.
  • It does not change the questions or marking.
  • It is decided on evidence, not preference.
  • Students who use it still have to do the work.

If you feel guilty about asking, remember that the aim is equal opportunity, not extra advantage.

International and professional exams

External exams, such as professional qualifications and licensing tests, often have their own accommodation processes, deadlines and evidence requirements. They may not accept your college's arrangements automatically. Ask the exam body early, and allow plenty of time. International students should check how documents from other countries are treated.

A worked example

Imagine a student with ADHD and anxiety who struggles with large exam halls. She registers with the disability office, and is approved for extra time and a small, quiet room with rest breaks. She puts the exam request deadline in her calendar and submits her requests early. She practices past papers with extra time and a timer, and plans how to use breaks. On the day, she checks with the invigilator that her room is ready. During one exam, a fire alarm test interrupts, and she reports it to the office, which arranges a review.

Booking early and reporting problems made the accommodations work.

Common mistakes

  • Missing deadlines for booking.
  • Assuming accommodations are automatic.
  • Not practicing with the technology or format.
  • Not checking arrangements on the day.
  • Not reporting problems at once.
  • Feeling guilty about using what you need.
  • Not asking about alternatives.

A quick checklist

  • Are my accommodations approved and clear?
  • Have I booked for every exam, by the deadlines?
  • Have I practiced under similar conditions?
  • Do I know what to do on the day, and who to tell if something is wrong?
  • Do I know the process if arrangements fail?

Final thoughts

Exam accommodations make exams fairer, and they work best when planned early. Know what you are entitled to, book by the deadlines, practice with your arrangements and check them on the day. If something goes wrong, report it at once. Your results should reflect what you know, not how well the room suits you.

Frequently asked questions

What exam accommodations are common?

Extra time, a separate or quiet room, rest breaks, a reader or scribe, assistive technology and alternative formats.

How much extra time can I get?

It depends on your needs and your college's policy, and is decided by the disability office.

When must I request them?

Usually well before the exam period. Deadlines are often earlier than students expect.

Does extra time give an unfair advantage?

No. It is meant to remove barriers, so that the exam measures knowledge and not the effect of a disability.

What if my arrangements are not in place on the day?

Tell the invigilator and the disability office immediately, and ask for a record of what happened.