Timeline Application Procedures (i) Candidate s and Parent s Consent Form Schools should have obtained prior consent of the candidates and their paren

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1 1. Introduction Hong Kong Diploma of Secondary Education Examination 2019 Category C (Other Languages) Subjects Applications for Special Examination Arrangements from Candidates with special needs Application Guide 1.1 Candidates with special needs (such as candidates with disabilities) entering for the Hong Kong Diploma of Secondary Education Examination (HKDSE) may apply before the examination to the Hong Kong Examinations and Assessment Authority (the HKEAA) for special examination arrangements (SEAs) (e.g. sitting examination at special centres, extra time allowance, braille/enlarged question papers, etc.) or exemption from component(s)/part(s) of an examination. For candidates requiring the use of special equipment (e.g. CCTV, computer), such equipment should be provided by the schools or the candidates. In cases where a candidate s request for SEAs violates the assessment objectives, the application/request will NOT be approved. 1.2 Where a candidate has been exempted from component(s)/part(s) of an examination, his/her results for the affected component(s)/part(s) will be assessed by the HKEAA based on his/her performance in the other component(s)/part(s) of the examination sat. The component(s) exempted will be indicated on the candidate s certificate. However, the reasons for granting the exemption and the SEAs made will NOT be recorded. 2. Timeline for submitting applications and processing of applications Timeline Application period: From 20 June to 9 July 2018 Application Procedures 1. School candidates must submit applications via their schools. Candidates who will be studying S6 in 2018/19 and will sit the Category C (Other Languages) subjects of the 2019 HKDSE (i.e. vember 2018 series) must submit their applications within the application period if they wish to have SEAs. 2. Private candidates must submit their applications during the same application period if they wish to apply for SEAs. 3. Application Period Applications should be submitted to the HKEAA together with the supporting documents (please refer to para. 4 for detailed requirements of documentary evidence) from 20 June to 9 July Since it might take some time for schools to process the applications, candidates/parents should inform their schools as soon as possible if they would like to submit applications. Late applications will NOT be processed. 4. Points to note during submission of applications When submitting applications, schools and candidates should note the following: P.1 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

2 Timeline Application Procedures (i) Candidate s and Parent s Consent Form Schools should have obtained prior consent of the candidates and their parents before submission of applications and supporting documents. The candidates and the parents should sign a consent form to this effect (Annex 6). (ii) Special Examination Arrangements Online Services Schools/Private candidates should make an application via the Special Examination Arrangements (SEA) Online Services on the HKDSE Examination Online Services ( (iii) Supporting Documents Scanned copies of the supporting documents should be submitted to the HKEAA via the SEA Online Services. Schools may refer to Annex 9 for guidelines on the processing of candidates supporting documents. 5. The HKEAA will issue an acknowledgement to schools and private candidates via an auto reply on receipt of the application. HKEAA staff will process the applications which are supported by the required documentary evidence in accordance with stipulated procedures. If necessary, the staff would contact the schools/ private candidates for follow up. Late August In cases where a candidate s application is not supported by documentary evidence or the information/justifications submitted do not sufficiently support the special needs of the candidate, the applications will NOT be processed. All applications are considered and approved by Cambridge International Examinations (CIE) after endorsement by the Committee on Special Needs Candidates (the Committee) or the Task Group on SEAs for Candidates with Specific Learning Disabilities (the Task Group). The HKEAA will announce the results of the applications via the SEA Online Services. (tes: 1. Written notifications will NOT be sent to the schools/candidates by post unless otherwise specified in their applications for SEAs 2. Requests for review of SEAs are not available for Category C subjects.) 3. Candidates with SEAs in previous public examinations If a candidate has been given exemption and/or SEAs in a previous HKDSE/Hong Kong Certificate of Education Examination (HKCEE)/Hong Kong Advanced Level Examination (HKALE) and wishes to have SEAs in the forthcoming Category C (Other Languages) examination, he/she must submit a fresh application. 4. Documentary evidence required Each application should be accompanied by an up-to-date medical/assessment report (valid throughout the examination period) issued by the Hospital Authority, Department of Health, Education Bureau (EDB), a registered medical practitioner, or a professional (e.g. audiologist, speech therapist, psychologist). The medical/assessment report(s) submitted should support the special needs of the candidates and state the SEAs required by the candidates (if P.2 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

3 applicable). In cases where a candidate s application is not supported by documentary evidence or the information/justifications submitted do not sufficiently support the special needs of the candidate, the applications will NOT be processed. Candidates with obvious and permanent disabilities (e.g. total blindness) may provide the previous medical/assessment report. Depending on the nature of special needs, candidates are required to submit the following documents: Special Needs 4.1 Physical Disabilities Documentary Evidence Required Physical disabilities refer to motor function problems [e.g. candidates suffering from cerebral palsy, muscular dystrophy, developmental coordination disorder (DCD)]. The candidate s special needs should be supported by: 1. A medical certificate to confirm the diagnosis of the candidate s physical disability (e.g. cerebral palsy, muscular dystrophy, DCD); 2. An assessment report issued by a specialist [e.g. occupational therapist (OT), physiotherapist] within 3 years before the examination, containing the following information; and (I) Information on the candidate from clinical interviews (a) history of hand function/fine motor problems and the support services received; (b) learning support from his/her family and school all along; and (c) description of functional impairments in daily functions (e.g. handling of stationery tools, level of functioning in self-care tasks). (II) Assessment results and analysis (assessment tools with Hong Kong norms preferred) (a) handwriting assessment (including speed and quality of handwriting); and (b) assessment tools related to writing, e.g. - fine motor; - power and pinch strength; - visual perception; - visual motor integration; and - ocular motor skills. (III) Conclusion and recommendations Conclusion on the severity of handwriting and fine motor related problems and possible types of special examination arrangements 3. Record of provisions of SEAs made by the candidate s school in internal examinations (i.e. Annex 3). For candidates who request extra time allowance (ETA), the assessment report submitted should include information/assessment on their writing abilities. Remarks: (1) The diagnosis of DCD should normally be confirmed by a panel of doctors and specialists (e.g. paediatrician and OT) in the Child Assessment Centres of the Department of Health for children aged 12 or below. For those above 12, the diagnosis of DCD should be confirmed jointly by a paediatrician and an OT. P.3 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

4 Special Needs 4.1 Physical Disabilities (cont d) Documentary Evidence Required (2) In case a candidate was assessed to have fine motor problems in primary or secondary school years, the school may submit the previous assessment report(s) together. The assessment report(s) should include the date of assessment(s), assessment tool(s), assessment result(s), type of diagnosis, etc. (3) The exact wordings related to candidates performance in the assessment tool(s) should be consistently used in the assessment report as far as possible. The assessment results should also be expressed in terms of standard deviations as far as possible. SEAs will normally be made for candidates with confirmed diagnosis of physical disability. Special consideration may be given by the Committee to candidates with fine motor related problems only (not a formal diagnosis of physical disability) who fulfill the eligibility criteria below: 1. In the assessment report issued by the OT, the candidate has demonstrated: (a) below average performance in a handwriting speed test; and (b) (i) well below average performance in fine motor; or (ii) below average performance in fine motor and well below average performance in ONE of the other scopes of assessment: power and pinch strength, visual perception, visual motor integration or ocular motor skills. 2. The request should be supported by the candidate s school and the SEAs requested by the candidate should have been practised in school internal examinations. The school should complete Annex 3 for the candidate. 4.2 Visual Disabilities 3. For candidates who request ETA, the provision of ETA should be recommended by the OT and supported by the HKEAA speed test results and school practice. The amount of ETA to be granted should normally not exceed 25%. The candidate should submit a medical certificate or assessment report issued by an ophthalmologist or an optometrist within 3 years before the public examination containing the following information: visual acuity (V.A.) after correction visual field In addition, the school should complete Annex 3 for the candidate. For candidates with colour-blindness/colour amblyopia problems, they should submit a medical/assessment report issued by an ophthalmologist/optometrist/ the Department of Health for the special consideration in the arrangement of question papers. For question papers containing coloured diagrams/ photographs, they will be given a set of black-white photocopied question papers in addition to the normal question papers. For questions requiring colour differentiation, in case no indication of the colours is provided, special consideration and appropriate marking will be given by the markers in accordance with the assessment objectives and requirements of the questions. P.4 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

5 Special Needs 4.3 Aural Disabilities Documentary Evidence Required The candidate should submit an assessment report (including an audiogram) issued within 3 years before the public examination, together with Annex 1 completed by an ENT specialist/audiologist. Remarks: Candidates who have made use of the special education services provided by the EDB may approach their schools for an audiologist report issued by the EDB audiologist. They need not submit Annex Oral Disabilities For candidates also having speech problems, the Annex 1 submitted should include the assessment made by a speech therapist. For details, please refer to item 4.4. The candidate should submit a speech and language assessment report issued within 3 years before the public examination, together with Annex 1 completed by a speech therapist. Remarks: Candidates who have made use of the special education services provided by the EDB may approach their schools for a speech and language assessment report issued by the EDB speech therapist. They need not submit Annex 1. P.5 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

6 Special Needs 4.5 Specific Learning Disabilities (SLD) Documentary Evidence Required SLD refers to severe problems in reading and writing (i.e. Dyslexia). candidate is required to submit the following documents : 1. An Assessment Report Form (Annex 2) duly completed by a qualified educational/clinical psychologist with professional practice training and the head of the candidate s school (the candidate and his/her parent should also sign the Assessment Report Form). The 2. A psychological assessment report, issued within 4 years before the public examination, containing the following information: (I) Information on the candidate from clinical interviews (a) background information on formal education; (b) history of word learning difficulty; (c) learning support from his/her family and school all along; and (d) factors, other than SLD (Dyslexia), that may affect the candidate s acquisition of literacy skills. (II) Assessment results and analysis (assessment tools with Hong Kong norms preferred) (a) intellectual functioning: previous or present assessment results; (b) literacy skills, e.g. - word reading: accuracy and fluency; - word dictation: error patterns and speed of writing; - reading comprehension; and - writing at length: organisation and quality. (c) cognitive-linguistic processes related to reading and writing, e.g. - rapid naming; - language comprehension; - morphological awareness; - orthographic knowledge; and - verbal memory. (III) Conclusion and recommendations Whether the candidate is a case of dyslexia and recommendations on the needs and possible types of SEAs 3. Record of provisions made by the candidate s school in internal examinations. Remarks: (1) In case a candidate was assessed to have SLD in primary or early secondary school years, the school may submit the previous assessment report(s) together, or the qualified EP/CP should summarise details of the candidate s previous assessment(s) in the assessment report(s), including the date of assessment(s), assessment tool(s), assessment result(s), type of diagnosis, etc. The wordings related to candidates performance in the assessment tool should be consistently used in the assessment report as far as possible. (2) Candidates who have been given SEAs in a previous HKDSE/HKCEE/ HKALE due to SLD will not be required to submit psychologists reports in their applications in the HKDSE if they apply for the same SEAs. P.6 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

7 Special Needs 4.6 Other Disabilities Documentary Evidence Required 1. Candidates with Autism Spectrum Disorder (ASD) [including Autism, Asperger s Syndrome, Atypical Autism, Pervasive Developmental Disorders (PDD), etc.] a diagnostic report issued by a psychiatrist in any of the candidate s secondary school years (only categorisation of the disability is required; detailed profile assessment and recommendation on the SEAs are not necessary); and Annex 3 (to be completed by the school concerned as proof that the SEAs requested by the candidate have been practised in school internal examinations). 2. Candidates with Attention-Deficit/Hyperactivity Disorder (AD/HD)/ disorder related to mental health a diagnostic report issued by a psychiatrist within 3 years before the public examination (only categorisation of the disability is required; detailed profile assessment and recommendation on the SEAs are not necessary); and Annex 3 (to be completed by the school concerned as proof that the SEAs requested by the candidate have been practised in school internal examinations). 3. Candidates with chronic medical illnesses (e.g. diabetes) medical documents issued within 3 years before the public examination; recommendations on the SEAs by medical professionals or the candidate s school; and Annex 3 (to be completed by the school concerned as proof that the SEAs requested by the candidate have been practised in school internal examinations). 4. Candidates with other disabilities [i.e. other than those mentioned in (1), (2) and (3) above] should submit a recent medical/assessment report issued by a doctor/specialist indicating the SEAs required by the candidate. The school concerned should also complete Annex 3 and provide records of SEAs made for the candidate in internal examinations for the consideration of the Committee. Remarks: (1) Candidates with ASD or AD/HD may submit a diagnostic report issued by a paediatrician/neurologist with subspecialty training in developmentalbehavioral paediatrics or paediatric neurology. (2) A new form is provided for candidates with ASD and/or AD/HD who request extra time allowance (ETA) (please refer to Annex 8). The form is for trial run only (i.e. optional) in the 2019 HKDSE. Schools are strongly encouraged to submit the form for the candidate(s) concerned (i.e. candidates with ASD and/or AD/HD who request ETA in the 2019 HKDSE). P.7 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

8 Special Needs 4.6 Other Disabilities (cont d) Documentary Evidence Required (3) Candidates with intellectual disabilities (ID) should submit a report [issued by a qualified educational/clinical psychologist (EP/CP) with professional practice training] confirming their ID within 4 years before the public examination. For candidates who request ETA, the rationale for ETA should be clearly stated in the recommendation jointly made by the Student Support Team and the qualified EP/CP. (4) In general, ETA will only be given where there is clear evidence/rationale to justify the need. The request should be supported by the relevant doctor/ specialist and the school should have been providing ETA for the candidate in internal examinations. The ETA given will normally not exceed 25% and will be considered by the Committee on a case by case basis. 4.7 Multiple Disabilities Candidates with confirmed diagnoses of multiple disabilities should submit up-to-date medical/assessment report(s) issued by respective doctor(s)/ specialist(s). Appropriate arrangements will be made for them with reference to the SEAs applicable to respective types of disabilities. Special requests for additional ETA will be considered by the Committee based on the principles below on a case by case basis: (1) confirmed diagnoses of different disabilities; (2) rationale and recommendation for additional ETA due to functional limitations based on the findings of objective assessment(s) provided by specialist(s) (e.g. EP, CP, OT); and (3) evidence on school practice which meets the stated need(s) of the candidate. 5. Examination venues, invigilator staff and any ancillary aids/equipment Schools presenting special needs candidates for the public examinations have to provide examination venues, invigilation staff and any ancillary aids/equipment with regard to the provision of special examination arrangements (SEAs) to these candidates. 6. Hospitalised candidates Hospitalised candidates applying to take the examination in the hospital must obtain the doctor s written permission certifying the candidate is fit for the examination. The application must be submitted with the necessary documents at least 24 hours before the examination. 7. Candidates Personal Data The personal data of candidates are used for the purposes of processing of applications for special examination arrangements and the conduct of examinations. The data are supplied by students through their schools, or by private candidates themselves. Whether the candidates provide the requested personal data or not is entirely voluntary. However, if the candidates fail to provide all the data, or if any of the data provided is inaccurate or incomplete, the processing of the applications will be affected and hence the HKEAA/CIE may not accept their applications. P.8 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

9 The personal data may also be used for conducting educational research and analysis in an anonymous manner in which the identities of candidates are not traceable. Data used in the processing of the candidates applications for special examination arrangements will be retained for three years and they will be destroyed thereafter. 8. Enquiries Address Website : 12/F, Southorn Centre, 130 Hennessy Road, Wan Chai, Hong Kong. : Services to Special Needs Candidates HKDSE ( Tel. : [email protected] For further information, please visit the HKEAA website or the HKDSE Examination Online Services ( P.9 of 9 HKDSE Application Guide - Applications from Special Needs Candidates (revised in June 2018) for Special Examination Arrangements

10 Hong Kong Diploma of Secondary Education Examination (HKDSE) Candidate with Aural and/or Oral Disabilities 附件 1 Annex 1 This form should be accompanied by an up-to-date* medical / assessment report (e.g. an audiogram or a speech and language assessment report) from the ENT specialist / audiologist or speech therapist (school candidates who have made use of the special education services provided by the Education Bureau need not submit this sheet.) * issued within 3 years before the commencement of the examination A. Candidate s personal particulars Name : (English) ( 中文姓名 ) : H.K. Identity Card. : B. Overall assessment In connection with the candidate s application for special examination arrangements and/or exemption, I confirm that the candidate has the following disabilities which will sustain over the entire examination period from to of the examination year: (Please tick the appropriate box below.) Aural Disability (This part should be completed by an ENT specialist / audiologist.) LEFT EAR RIGHT EAR rmal rmal Mild Mild Moderate Moderate Moderately Severe Moderately Severe Severe Severe Profound Profound Name : (ENT Specialist/Audiologist) Signature : Date : Oral Disability (This part should be completed by a speech therapist.) Diagnosis : (1) Severity of oral disability Mild Moderate Severe (2) Area of difficulty (may tick more than one box) Articulation Language Voice Fluency Name : (Speech Therapist) Signature : Date : 特別考試安排申請表格 ( 附件 1) Application for Special Examination Arrangements (Annex 1) (revised in July 2017)

11 香港中學文憑考試特殊學習障礙考生特別考試安排申請 Application for Special Examination Arrangements in the HKDSE from Candidates with Specific Learning Disabilities 評估報告 Assessment Report 香港中學文憑考試 考試年份 HKDSE Examination Year: 學校 班別 School: Class: 考生姓名 Name of Candidate: 香港身分證號碼 出生日期 H.K.I.D. Card.: Date of Birth: 特殊學習障礙紀錄 History of Specific Learning Disabilities 1. 如考生在學習讀寫的過程中有特殊困難, 請列出有關紀錄 ( 例如以往的評估結果 ) 或附上有關文件 Please indicate any history of the candidate having specific difficulties with the learning of literacy skills (e.g. previous assessment results) or attach relevant documents. 閱讀 / 書寫技能 Reading/Writing Skill ( 請於適當方格內加上 號 ) (Please put a in the appropriate box.) 明顯在平均以下 平均以下 Grossly Below below average average 2. 請評估考生於以下範疇中的能力及就其能力與其他同齡學生作出比較 : Please assess the candidate s ability in each of the following areas in comparison with his/her age peers: a. 閱讀準確度 reading accuracy b. 閱讀速度 reading speed c. 書寫的可辨認程度 handwriting legibility d. 書寫速度 handwriting speed e. 默書 / 串字 dictation/ spelling f. 文字表達 / 寫作 written expression / writing composition 3. 考生的口語表達能力是否比其文字表達能力顯著優勝? Is the candidate s ability to express himself /herself orally significantly better than in writing? 有顯著差異 Significant Discrepancy 有些微差異 Mild Discrepancy 附件 2 Annex 2 平均 / 平均以上 Average/ above average 沒有差異 Discrepancy 校內支援 Support from School 4. 學校有否在過去兩年內於校內考試提供特別考試安排予考生?( 如有的話, 請於下面列明詳情 ) 有 無 Have special arrangements been made available to the candidate in internal examinations in the past two years? (If yes, please specify details below) 校內考試特別安排 ( 請於適當位置填寫 )# Special Arrangements in Internal Examinations (please tick/specify as appropriate) # 科目 / 卷別 Subject / Paper 請於適當方格內加上 號 # Please tick the appropriate box(es) # 所有報考科目 / 卷別 All subjects/papers entered 只適用於個別科目 / 卷別, 註明如下 : Applicable to the subject(s)/paper(s) as specified below: 其他 ( 請在方格內註明詳情 ) 6: Others (please specify details below) # 較長的作答時間 應試時短暫休息 試場的特別安排 1 = Time allowance 2 = Supervised breaks 3 = Special arrangements in examination centres 試題的特別安排 特別答題簿 其他 ( 例如 : 電腦讀屏器 語音轉換文字軟件 電腦 ) 4 = Special format of question papers 5 = Special answer books 6 = Others (e.g. screen reader, speech-to-text software, use of computer) 5. 你認為學校於校內考試所作的特別安排是否已照顧考生的需要? 是 否 Do you think the school s arrangements in the internal examinations have adequately addressed the need of the candidate for his/her disabilities? 如否, 請列明哪些需要未獲照顧 : If no, please specify the needs not yet addressed: 6. 你認為學校於校內考試所作的特別安排有否對其他同學構成不公平? 有 否 Do you think the school s arrangements in internal examinations have given the candidate an unfair advantage over his/her schoolmates? 如有的話, 請列明特別安排構成哪方面的不公平 : If yes, please state what kind of unfair advantage: 特別考試安排申請表格 ( 附件 2) P.1 of 3 Application for Special Examination Arrangements (Annex 2) (revised in July 2017)

12 此部分由心理學家填寫 This part to be filled in by the psychologist ( 曾於香港中學會考 / 香港高級程度會考 / 香港中學文憑考試因學障而獲得特別考試安排的考生, 若所申請的特別考試安排與往屆考試相同, 申請時無須心理學家填寫此部分 ) (Candidates who have been given special examination arrangements in a previous Hong Kong Certificate of Education Examination, Hong Kong Advanced Level Examination or Hong Kong Diploma of Secondary Education Examination on the ground of specific learning disabilities will not need to have this part completed by the psychologist if they apply for the same special examination arrangements.) 1. 曾確診有讀寫障礙之考生 * Candidates with previous confirmed diagnosis of SLD * 評估日期測驗名稱 Date of Test administered Assessment 智力 Intellectual Functioning 讀寫能力 ( 過往評估 ) Reading & Writing Ability (Previous assessment) 讀寫能力 ( 考試前四年內之評估 ) Reading & Writing Ability (Assessment within four years before the examination) 評估結果 Test Results 評估結果符合有關測驗的讀寫障礙準則 Criteria of the test for dyslexia are met 評估結果不符合有關測驗的讀寫障礙準則 Criteria of the test for dyslexia are not met 曾被診斷為有讀寫障礙而今次之評估結果為 : Previously diagnosed to have SLD and the current assessment result is as below: 仍顯示語文能力有顯著困難 Indicate significant difficulties in reading & writing 未有顯示語文能力有顯著困難 Does not indicate significant difficulties in reading & writing ( 請於適當方格內加上 號 ) (Please put a in the appropriate box.) 結論 Conclusion 正常? 是 不是 rmal? 讀寫障礙? 有 無 Dyslexia? 建議提供特別考試安排? Recommend special examination arrangements (SEAs)? 建議提供電腦讀屏器? Recommend screen reader? 建議於通識教育科提供語音轉換文字軟件? Recommend speech-to- text software in Liberal Studies? 是 是 是 2. 以往未曾確診有讀寫障礙之考生 * Candidates without previous diagnosis of SLD * 評估日期 Date of Assessment 智力 Intellectual Functioning 讀寫能力 ( 考試前四年內之評估 ) Reading & Writing Ability (Assessment within four years before the examination) 測驗名稱 Test administered 評估結果 Test Results 評估結果符合有關測驗的讀寫障礙準則 Criteria of the test for dyslexia are met 評估結果不符合有關測驗的讀寫障礙準則 Criteria of the test for dyslexia are not met 結論 Conclusion 正常? 是 不是 rmal? 讀寫障礙? Dyslexia? 其他已知診斷 ( 如有的話, 請註明 :) 有 無 Other known diagnoses (if yes, please specify: ) * 請於心理評估報告內列出測驗結果及相關的數據 Please list the test results with relevant data in the psychological assessment report. 有 建議提供特別考試安排? Recommend special examination arrangements (SEAs)? 建議提供電腦讀屏器? Recommend screen reader? 建議於通識教育科提供語音轉換文字軟件? Recommend speech-to- text software in Liberal Studies? 請根據所有所得資料 ( 包括但不限於目前的測試結果 ) 為個案作結論 有關特別考試安排的詳情, 請參閱特別考試安排申請指引 ( 可從考評局網頁 下載 ) Please draw your conclusion on the case based on all the available information (including but not limited to the current test results). For details of the SEAs, please refer to the SEA application guide (may be downloaded from the HKEAA website: 3. 本人確定上述資料正確無誤 現附上考生最近期的心理評估報告 I confirm that the above information is accurate. The latest psychological assessment report of the candidate is attached. 心理學家姓名 服務機構 Name of Psychologist: Organisation: 資歷 ( 例如 : 專業學會會員資格 ) Qualifications (e.g. professional membership): 考評局或會要求提供證明文件作核對用 The HKEAA may ask for documentary proof. 無 是 是 是 心理學家簽名 Signature of Psychologist: 日期 Date: 特別考試安排申請表格 ( 附件 2) P.2 of 3 Application for Special Examination Arrangements (Annex 2) (revised in July 2017)

13 香港中學文憑考試特別考試安排建議 Recommendations for Special Examination Arrangements in the HKDSE 註 : 特別考試安排只提供予經評估確定有讀寫障礙的考生 te: Special examination arrangements (SEAs) will only be made for candidates with confirmed diagnosis of Dyslexia. 7. 就考生的特別考試安排作出建議前, 請參閱特別考試安排申請指引及考評局印發的 為學障考生提供服務 資料單張 ( 可從考評局網頁 下載 ) Before summarising below the recommendations of SEAs for the candidate, please refer to the SEA application guide and leaflet Providing services to candidates with specific learning disabilities. (may be downloaded from the HKEAA website: ( 請於適當的方格內加上 號及列明詳情 Please tick the relevant boxes and specify details against each ticked box.) 較長的作答時間 ( 筆試一般可延長 25%, 多項選擇題可延長 15%; 如考生需要更長的作答時間, 請列明所需的時間及原因 ) Time allowance (normally 25% for written papers and 15% for multiple-choice; if more allowance is needed, please state the amount and give supporting reasons) 應試時短暫休息 ( 適用於獲較長作答時間的考生 一般而言, 只設於 90 分鐘或以上的考試, 通常為每 45 分鐘有 5 分鐘休息時間 - 如要求不同, 請列明需要詳情及原因 ) Supervised breaks (applicable to candidates with time allowance; normally a 5-minute break for every 45 minutes for examinations lasting 90 minutes or more - if different, please state details of the proposed breaks and give supporting reasons.) 需要 Required 不需要 t Required 試場的特別安排 Special arrangements in examination centres 試卷的特別安排 : 單面印製放大至 A3( 黑白 ) 象牙色試卷 Special format of question papers(qp) : One-side printing enlarged to A3 (black and white) ivory-colour QP 特別答題簿 Special answer books 以電腦代替書寫 ( 不包括語音轉換文字軟件 )- 原因為 : Use of computer instead of writing (not including speech-to-text software) the reason is: 字跡難以辨認 ( 請提供考生近期校內中 英文科手寫作文測驗 / 考試樣本各一份, 供考評局考慮 ) Illegible handwriting (Please provide a copy of the candidate s handwritten Chinese/English composition work in a recent internal test/exam for the HKEAA to consider) 書寫速度極慢 ( 請提供職業治療師 / 醫生報告作為證明 ) Extremely slow handwriting speed (Please provide report from occupational therapist/medical practitioner as supporting evidence) 其他原因 ( 請註明原因及提供證明文件 ) Other reasons (Please specify and provide supporting documents) 使用電腦讀屏器 ( 請註明所使用的讀屏軟件, 及提供最近期的心理評估報告, 報告內須列明考生的讀字困難評估結果 ) Use of screen reader (please specify the name of the text-to-speech software to be used, and provide the latest psychological assessment report with the assessment result of the candidate s word reading difficulties) ^ 使用語音轉換文字軟件 ( 請註明所使用的語音轉換文字軟件, 及提供最近期的心理評估報告, 報告內須列明考生的書寫困難評估結果 ) Use of speech-to-text software (please specify the name of the speech-to-text software to be used, and provide the latest psychological assessment report with the assessment result of the candidate s writing difficulties) 其他 Others ^ 如此安排未曾在校內考試提供, 學校應在考評局接納考生是項申請後, 為考生於校內考試作出相同安排 If this arrangement has not been provided for the candidate in internal examinations before, the school should provide this to the candidate in internal examination(s) after the candidate s application to adopt this arrangement in HKDSE has been accepted by the HKEAA. 簽名 Signature: 日期 Date: 校長 Principal ********************************************************************************************************************************** 簽名 Signature: 日期 Date: 家長 Parent 考生 Candidate 日期 Date: 特別考試安排申請表格 ( 附件 2) P.3 of 3 Application for Special Examination Arrangements (Annex 2) (revised in July 2017)

14 校內考試特別安排資料 Information on Special Arrangements in Internal Examinations 附件 3 Annex 3 * 此頁不適用於學障考生 學障考生的校內考試特別安排, 請填寫在專為學障考生而設的 評估報告 內 ( 見附件 2) This page is not applicable to candidates with specific learning disabilities (SLD). Please provide the information on special arrangements in internal examinations for candidates with SLD on the Assessment Report Form specially prepared for them (see Annex 2). 學校 School: 考生姓名 香港身分證號碼 Name of Candidate: H.K.I.D. Card.: 1. 學校過去曾經在校內考試提供以下特別安排予考生 The following special arrangements have been made available to the candidate in internal examinations in the past (please specify details below). 科目 / 卷別 Subject / Paper 所有報考科目 / 卷別 All subjects / papers entered 學校過去提供的校內考試特別安排 ( 請於適當位置填寫 )# Special Arrangements in Internal Examinations in the past (please tick/specify as appropriate) # 請於適當方格內加上 號 # Please tick the appropriate box(es) # 7: 其他 ( 請在方格內註明詳情 ) 7: Others (please specify details below) 個別科目 / 卷別, 註明如下 : Subject(s) / paper(s) as specified below: # 較長的作答時間 應試時短暫休息 試場的特別安排 1 = Extra time allowance 2 = Supervised breaks 3 = Special arrangements in examination centres 試題的特別安排 特別答題簿 文字標註 / 描述 其他 4 = Special format of question papers 5 = Special answer books 6 = Plain text labels / descriptions 7= Others 2. 學校會否在未來的校內考試提供特別安排予考生? Will special arrangements be made available to the candidate in internal examinations in the future? 會 ( 學校將最快於 年 月的校內考試提供特別考試安排予考生 ) [Special arrangements will be available in the nearest internal examinations of / (mm/yyyy)] 不會 [ 假若有關安排與上表所列的相同, 則無需重覆將安排於下表列出 ; 惟若有關安排與上表所列的不同 / 學校不會再為考生提供特別安排, 請於以下適當位置提供原因及 ( 如適用 ) 於下表列出有關安排 ] [In case the special arrangements are the same as those listed in the table above, there is no need to repeat the arrangements in the table below. However, if the special arrangements are different from those listed in the table above / will not be made, please state the reasons in the spaces provided and (if applicable) state the details in the table below.] 原因 : Reasons: 科目 / 卷別 Subject / Paper 所有報考科目 / 卷別 All subjects / papers entered 學校將會提供的校內考試特別安排 ( 請於適當位置填寫 )# Special Arrangements in Internal Examinations in the future (please tick/specify as appropriate) # 請於適當方格內加上 號 # Please tick the appropriate box(es) # 7: 其他 ( 請在方格內註明詳情 ) 7: Others (please specify details below) 個別科目 / 卷別, 註明如下 : Subject(s) / paper(s) as specified below: # 較長的作答時間 應試時短暫休息 試場的特別安排 1 = Extra time allowance 2 = Supervised breaks 3 = Special arrangements in examination centres 試題的特別安排 特別答題簿 文字標註 / 描述 其他 4 = Special format of question papers 5 = Special answer books 6 = Plain text labels / descriptions 7= Others 校長簽名 日期 Signature of Principal: Date: 特別考試安排申請表格 ( 附件 3) Application for Special Examination Arrangements (Annex 3) (revised in July 2017)

15 特別答題紙 Special Answer Sheets 附件 4 Annex 4 註 : 特別答題紙範本已上載考評局網頁 ( 為特殊需要考生提供服務 香港中學文憑考試 ), 以供參閱 te: Samples of special answer sheets have been uploaded to the HKEAA website ( Services to Special Needs Candidates HKDSE). 單行答題紙 (H1) 行線較深色 ( 行距 :0.8 厘米 ; 紙張大小 :A4) Single line answer sheet (H1) darker colour (line width: 0.8cm; paper size: A4) 放大單行答題紙 (H2) ( 行距 :1 厘米 ; 紙張大小 :A4) Enlarged single line answer sheet (H2) (line width: 1cm; paper size: A4) 放大單行答題紙 (H3) ( 行距 :1.2 厘米 ; 紙張大小 :A4) Enlarged single line answer sheet (H3) (line width: 1.2cm; paper size: A4) 放大原稿紙 (C1) (15 x 15 格 ; 紙張大小 :A4) Enlarged Chinese graph paper (C1) (15 x15 boxes; paper size: A4) 特別考試安排申請表格 ( 附件 4) Application for Special Examination Arrangements (Annex 4) (revised in July 2017)

16 特別答題紙 Special Answer Sheets 放大原稿紙 (C2) (12 x 13 格 ; 紙張大小 :A4) Enlarged Chinese graph paper (C2) (12 x13 boxes; paper size: A4) 放大格仔紙 ( 顏色 : 黑白色 / 綠色 ; 紙張大小 :A3) Enlarged graph paper (black & white colour / green colour; paper size: A3) 放大多項選擇題答題紙 (M1) ( 紙張大小 :A4) Enlarged MC answer sheet (M1) (paper size: A4) A B C D A B C D 放大多項選擇題答題紙 (M2) ( 紙張大小 :A4) Enlarged MC answer sheet (M2) (paper size: A4) A B C D A B C D 特別考試安排申請表格 ( 附件 4) Application for Special Examination Arrangements (Annex 4) (revised in July 2017)

17 香港考試及評核局香港中學文憑考試特別考試安排申請 HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION APPLICATION FOR SPECIAL EXAMINATION ARRANGEMENTS 附件 6 Annex 6 考生及家長同意書 Candidate s and Parent s Consent Form 致 : 香港考試及評核局 To: Hong Kong Examinations and Assessment Authority 本人確認 : 甲 已清楚細閱香港中學文憑考試特別考試安排的 申請指引 ; 乙 同意授權 ( 學校名稱 ) 為本人 / 敝子弟 : (1) 透過香港考試及評核局 ( 考評局 ) 的網上電子表格系統向該局遞交香港中學文憑考試特別考試安排申請 附件 3( 如有的話 ) 及此同意書 ; 及 (2) 按 申請指引 內的文件要求, 將醫生 / 專家簽發的證明文件 / 附件遞交考評局 ; 及丙 已得悉本人 / 敝子弟香港中學文憑考試特別考試安排申請的詳情 I hereby acknowledge that: A. I have read the Application Guide on applications for special examination arrangements in the Hong Kong Diploma of Secondary Education Examination (HKDSE); B. I agree to authorise (Name of School) to submit on my / my child s behalf: (1) my / my child s application for special examination arrangements in the HKDSE, Annex 3 (if any) and this consent form via the online electronic application system of the HKEAA; and (2) supporting document(s) / annexe(s) signed by registered medical practitioner(s) / professional(s) in accordance with the documentation requirements in the Application Guide ; and C. I have noted the information in my / my child s application for special examination arrangements in the HKDSE. 考生簽署日期 Signature of Candidate: Date: 考生姓名 (Name of Candidate: ) 考生身分證號碼首 4 個字母 / 數字 First 4 characters / digits of the candidate s HKID : 家長簽署 Signature of Parent: 日期 Date: 家長姓名 (Name of Parent : )

18 香港考試及評核局校內考試延長作答時間資料 ( 適用於自閉症譜系障礙及 / 或注意力不足 / 過度活躍症的考生並於 2019 年文憑試申請延長作答時間 ) 附件 8 Annex 8 Hong Kong Examinations and Assessment Authority Information on Extra Time Allowance (ETA) in Internal Examinations [Applicable to candidates with Autism Spectrum Disorder (ASD) and/or Attention-Deficit/Hyperactivity Disorder (AD/HD) who request ETA in the 2019 HKDSE] 一般情況下, 考評局只會提供延長作答時間予能遞交充分證明有此需要的自閉症譜系障礙及 / 或注意力不足 / 過度活躍症的考生, 有關證明包括但不限於由相關醫生確診其自閉症譜系障礙及 / 或注意力不足 / 過度活躍症, 以及於校內考試提供有關安排 學生支援小組 亦應嘗試其他相關的特別考試安排及檢視其效用, 以提供最適切的安排予考生 此表格旨在增強學校為有關考生檢視其延長作答時間需要的意識, 並為他們將來提供額外資料作準備, 以申請於公開考試獲延長作答時間 此表格會於 2019 年文憑試以試行方式推行 ( 可選擇填寫與否 ), 學校應儘量為相關考生 ( 即於 2017/18 學年就讀中五, 並申請於 2019 年文憑試獲延長作答時間的自閉症譜系障礙及 / 或注意力不足 / 過度活躍症考生 ) 遞交此表格 本局將於 2017/18 學年檢討有關安排, 預計此表格於 2020 年文憑試推行 In general, ETA will only be given to candidates with ASD and/or AD/HD where there is clear evidence to justify the need, including but not limited to a confirmed diagnosis of ASD and/or AD/HD by a relevant medical doctor and school practice in internal examinations. The Student Support Team (SST) is also recommended to try out and evaluate the effectiveness of other relevant special examination arrangements for the candidate(s) so that the most appropriate and necessary ones would be provided. This form aims to raise schools awareness of reviewing the need of the candidate(s) concerned for ETA and prepares them to submit additional information to the HKEAA for requesting ETA in public examinations in the future. This form is for trial run only (i.e. optional) in the 2019 HKDSE. Schools are strongly encouraged to submit the form for the candidate(s) concerned (i.e. candidates with ASD and/or AD/HD who will be studying S5 in 2017/18 and request ETA in the 2019 HKDSE). The HKEAA will review the arrangements in 2017/18 and it is anticipated that the form will be implemented starting from the 2020 HKDSE. 學校 School: 考生姓名 香港身分證號碼 Name of Candidate: H.K.I.D. Card.: 考生的特殊需要類別 Nature of the candidate s special needs: 自閉症譜系障礙 Autism Spectrum Disorder 注意力不足 / 過度活躍症 Attention-Deficit/Hyperactivity Disorder 其他 Others ( 請說明 Please specify: ) 作答表現 Performance in Test Taking ( 請於適當方格加上 號 ) (Please put a in the appropriate box.) 1. 請評估考生於一般考試時間下 ( 即沒有延長作答時間 ) 的作答能力 : Please assess the candidate s test taking ability within the normal examination time (i.e. without ETA): a. 考生可於考試時間內完成考試 The candidate could complete the examination within the normal examination time. b. 考生會因遷就作答時限而縮短作答篇幅或影響其作答的質素 The candidate completed the examination within the normal examination time at the expense of shorter length or poorer quality of answers. 2. 請指出考生有沒有出現以下的狀況 : Please indicate if the candidate displays the following condition(s): a. 做事欠缺彈性, 過份執著小節或工作程序, 因而浪費考試時間 Waste of examination time due to rigidity and obstinacy on workflows and details b. 容易受環境影響而分心或過度沉浸於無關的思緒 / 事物而浪費考試時間 Waste of examination time due to weaknesses in attention control or excessive obsession with details c. 處理文字較慢 Slowness in processing texts d. 書寫速度較慢, 例如 : 因執筆或運筆問題, 經常需要更改已書寫文字 Slowness in handwriting, e.g. frequent corrections of written words due to problems of pen grasp or pen control e. 未能持續專注及集中應試, 並影響其工作速度 Difficulties in sustaining attention which adversely hamper the speed of working 特別考試安排申請表格 ( 附件 8) P.1 of 2 Application for Special Examination Arrangements (Annex 8) (revised in July 2017) 是 是 有 有 有 有 有 否 否 沒有 沒有 沒有 沒有 沒有

19 f. 未能安坐應試, 並影響其工作速度 Difficulties in on-seat behaviour which adversely hamper the speed of working g. 做事缺乏條理及組織能力, 並影響其工作速度 Weaknesses in planning and organisation which adversely hamper the speed of working 有 有 沒有 沒有 h. 其他觀察 ( 如有 ) Other observations (if any): 校內支援 Support from School 3. 考生是否仍在校內考試獲提供延長作答時間?( 如是, 請列明詳情 ) 是 否 Is the candidate receiving ETA in internal examinations? (If yes, please specify details) 科目 / 卷別 Subject / Paper 所有報考科目 / 卷別 All subjects / papers entered 個別科目 / 卷別, 註明如下 : Subject(s) / paper(s) as specified below: 加時幅度 ( 例如 25%) Amount of ETA (e.g. 25%) * 開始提供延長作答時間的學年 * School year starting the provision of ETA * 一般情況下 ( 如申請 25% 或以下的延長作答時間 ), 學校無需提交詳細的校內紀錄 Under normal circumstances (e.g. application for 25% ETA or below), schools are not required to submit detailed internal records. 4. 學校的學生支援小組是否已檢視學生在校內考試有持續的延長作答時間需要? 是 否 Has the SST of school reviewed whether the candidate has a continued need for ETA in internal examinations? 5. 其他資料或文件 ( 如有 ): Other information or documents (if any): 簽名 Signature: 日期 Date: 校長 Principal 特別考試安排申請表格 ( 附件 8) P.2 of 2 Application for Special Examination Arrangements (Annex 8) (revised in July 2017)

20 HONG KONG DIPLOMA OF SECONDARY EDUCATION EXAMINATION Introduction Applications for Special Examination Arrangements Guidelines for Processing of Supporting Documents by Schools 1. In processing applications for special examination arrangements (SEAs) from candidates with special needs in the Hong Kong Diploma of Secondary Education Examination (HKDSE), schools (on behalf of their candidates) and private candidates should submit the applications online together with the supporting documents (e.g. psychological assessment reports, medical documents, annexes, supporting letters from schools / teachers) to the Hong Kong Examinations and Assessment Authority (HKEAA) via the SEA Online Services (hereafter called Online Services ) at the HKDSE Examination Online Services ( 2. Each application for SEAs must be accompanied by supporting documents. Before making an application via the Online Services, schools should carefully read the Application Guide for the types of supporting documents to be submitted by candidates with different types of special needs. 3. As the supporting documents contain information about candidates special needs, e.g. diagnoses of candidates medical problems, results of psychological assessment of candidates reading and writing abilities, they are candidates personal data and shall be classified and handled as restricted information. They must be handled with the strictest confidence and guarded against unauthorised access. 4. Schools are requested to submit all the supporting documents via the Online Services. Supporting documents are usually issued by medical practitioners or professionals (e.g. occupational therapists, audiologists and psychologists) in the form of hardcopies. Under such circumstances, each of these documents, after submission to schools by the candidates, must be converted into an electronic format (electronic file) via scanning, before it can be uploaded onto the Online Services for transmission to the HKEAA. 5. If the supporting documents received by schools are in an electronic format, then the files can be uploaded directly to the Online Services provided that the files are in any of the following formats and the total size does not exceed 10MB: PDF, JPEG or JPG Annex 9 6. For each school, please ensure that only the principal and the SEA Application Officer(s) designated by the school can access the Online Services. While the SEA Application Officer is responsible for making the applications via the Online Services, the school may designate the SEA Application Officer or other staff member(s) to handle the supporting documents after making certain that they are aware of the guidelines in handling restricted personal data. 7. All applications and supporting documents should be processed on a designated computer with restricted access. Furthermore, during the conversion of the supporting documents into electronic files, where necessary, the electronic files thus created should only be sent to and stored on this computer. Any temporary storage device used must be password-protected. 8. The following provides some guidance to schools on how to handle the supporting documents when making applications for SEAs via the Online Services. P.1 of 3 特別考試安排申請表格 ( 附件 9) Application for Special Examination Arrangements (Annex 9) (revised in July 2017)

21 Receipt of Hardcopies of Supporting Documents 9. Upon receipt of the supporting documents from the candidates, record the following information: (a) (b) number of supporting documents submitted by the candidate; and name, issue date and total number of pages of each document. Keep the documents in safe custody and away from any unauthorised access. Conversion of Hardcopies of Supporting Documents into Electronic Files 10. Prior to making an application on the Online Services, convert the hardcopies of supporting documents into electronic files via scanning. 11. The SEA Application Officer (or the staff designated for handling the supporting documents) should be present throughout the process of scanning. Never leave the supporting documents unattended at the scanning machine. 12. Some fax machines can save their scanned documents in the machine, same for photocopiers or scanning machines. If there is such a function, that function should be turned off before scanning. 13. In case a supporting document has more than one page but is not paginated, before de-stapling, write the page number at the back (if the document is single-sided) or at a corner of each page using a pencil. This allows the pages to be arranged in the correct sequence again in case the pages are accidentally mixed up after de-stapling. 14. If the count of number of pages scanned is available on the scanning machine, check this count against the total number of pages of the document. 15. After scanning one document, staple the document immediately to avoid the loss of any page of the document. 16. In case a candidate has more than one supporting document, scan each document into a separate electronic file. 17. If the designated staff has to scan the supporting documents of more than one candidate, to avoid mixing up of the documents of the candidates, he / she should scan all the supporting documents of one candidate before proceeding to handle those of another candidate. 18. Where the scanning is done on a photocopier or fax machine, in case paper jamming occurs, check to ensure that all jammed papers are cleared from the photocopier or fax machine. It is advisable to scan the whole document again to ensure that it is completely scanned. 19. After scanning, cross check that the hardcopies of the supporting documents are not left at the scanning machine. Keep the documents in safe custody again. 20. Specifications of the electronic files (scanned images) (a) (b) (c) File formats: PDF, JPEG or JPG Total File size: 10MB or below Image resolution: 200dpi or below It is advisable to scan the documents into black and white images in order to minimise the file size. P.2 of 3 特別考試安排申請表格 ( 附件 9) Application for Special Examination Arrangements (Annex 9) (revised in July 2017)

22 Checking, Processing and Storing of Electronic Files (Scanned Images) of Supporting Documents 21. Process and store the electronic files of the supporting documents on a designated computer / drive / folder with restricted access and with screen saver protection. The designated staff should activate the screen saver whenever he / she needs to be away from the workstation for a short while in order to ensure that the supporting documents displayed on the monitor or stored in the hard disk cannot be accessed by others. Under such circumstances, the hardcopies of the documents must not be left unattended. 22. Check on the designated computers that the electronic files of all supporting documents scanned are successfully created. 23. For each electronic file of the documents, check to ensure that: (a) (b) (c) (d) the total number of pages of the scanned document in the electronic file tallies with that of the hardcopy and the record stated in paragraph 9; each page of the hardcopy of the document has been scanned; each page of the document has been completely scanned; and the information in the electronic file is clearly legible. In case of incomplete or unclear scanning of any page of the supporting documents, scan the whole document again. The electronic files with incomplete or unclear scanning should be deleted from the computer / drive / folder at once to avoid mixing up with the files of the same documents created during re-scanning. 24. The filenames of the electronic files created by the computer during scanning are usually sets of numbers. It is thus difficult for one to tell which candidate a particular file belongs to. This is particularly risky when the supporting documents of more than one candidate have to be handled at the same time, as the files of different candidates can be easily mixed up. Thus, it is advisable to rename the electronic files of the supporting documents by including, say, the names of the candidates as part of the filenames. It is important that the electronic files are clearly and systematically indexed in order to minimise the chance of mixing up of supporting documents of different candidates. Submission of Electronic Files of Supporting Documents via the Online Services 25. The SEA Application Officer should upload the electronic files of the supporting documents onto the Online Services. Activate the screen saver whenever he / she needs to be away from the computer for a short while. 26. After successful submission of an application, delete all the electronic files of the supporting documents of the candidate from the hard disk of the computer and / or any storage media. Clear the files in the Recycle Bin of the computer. P.3 of 3 特別考試安排申請表格 ( 附件 9) Application for Special Examination Arrangements (Annex 9) (revised in July 2017)