Certification Examination Special Accommodations Form
Certified Analytics Professional (CAP®) Credential
Please PRINT the following information.
TO BE COMPLETED BY CERTIFICATION APPLICANT
First name
Middle initial
®
Last name
Email
Phone number
For further information on the
CAP® credential, please visit
www.INFORMS.org/certification
Please describe the disability that significantly impairs your ability to complete the CAP® examination.
Please list the specific testing accommodation requested.
Feel free to use additional separate sheets if needed.
Note: You must also provide the INFORMS Certification Department with written documentation
from a licensed/certified healthcare provider supporting the need for the accommodation requested.
This documentation should include a statement describing your disability, diagnosis of your health
condition, and a specific recommendation for the type of accommodation requested.
INFORMS will not be able to process any request for an accommodation related to compliance with
the Americans with Disabilities Act of 1990 until both this Accommodation Request form and the
required healthcare provider documentation have been submitted to INFORMS.
Signature
Date