2024-2025 Fidelity Assurance Form
Introduction
The Fidelity Assurance Form must be submitted when a student needs to utilize one or both of the items listed below as tools or accommodations:
- Internet Access: Applies to instances when software, such as web-based Assistive Technology devices used by the student routinely and documented in the student’s plan (i.e., Individualized Education Plan [IEP], Section 504 Plan, Choice Special Education Plan [CSEP] or Service Plan), require an active connection to the internet.
- Software that contains prohibited features which cannot be disabled: Applies to instances when software used by the student routinely and documented in the student’s plan, contain prohibited features that CANNOT be disabled.
- Medical Device: Applies to instances when a medical device (i.e., glucose monitoring device, seizure monitoring device) is required for use by the student. Students utilizing Bluetooth headphones and/or hearing devices do not require a Fidelity Assurance form.
- The Corporation Test Coordinator (CTC) understands and acknowledges the following:
- The tool or accommodation (as described above) must be part of the student’s plan and used by the student routinely in the classroom. The student must have permissive mode in one of the above mentioned formalized plans as well as TIDE. Completion of the Fidelity Assurance Form does not turn on the permissive mode accommodation in TIDE.
- When software used by the student requires an active connection to the internet, the student will be monitored to ensure he/she remains ONLY within the necessary software (i.e. ensure the student utilizes no other websites or web-based tools) during the duration of the assessment.
- When prohibited features cannot be disabled, the student must be monitored to ensure that he/she does not access any prohibited features which cannot be disabled during the test administration.
- If the student is being tested in a small group setting a proctor must be present in the testing room (along with a TA). The proctor must be next to/near the student to monitor the student to ensure the student is not accessing any content other than the assessment.
- If the student is being tested individually, only the TA is necessary and the TA should be next to/near the student to ensure the student is not accessing any content other than the assessment.