Nicholas, Extra time for pencil-and-paper tests should be a "given" for all the reasons you suggest here. Extra time on assessment of skills is a whole different question, and must be judged very differently. For exammple, you cannot give extended time on tourniquets to an EMT, nor extended time on giving permanents to a cosmetology major (you leave that lotion on too long -- you are in big trouble! GRIN) Then, again, the reason WHY we give extended time on pencil-and-paper tests may not be an issue in practical exams (there is nothing for the LD student to read while putting on that tourniquet). Sometimes, though, extended time for practical assessments IS possible without negative impact (such as in a foods program, where taking too long for the critical steps results in a lousy product -- that can get graded accordingly -- but is otherwise not a problem). Once we get to the practical assessments, determining the appropriate possibilities for accommodation is a very individualized process. Dr. Jane Jarrow