Request an Accommodation

This accommodation is offered only to individuals who have been diagnosed with a reading impairment, visual disability, or other disability that would affect their ability to respond to the assessment. After you complete the online form, a Galllup representative will assist you with disabling the timer so you may complete the online assessment and your application.

NOTE: Fields in bold are required. Please submit all comments in English.

Full Name

E-mail Address

Phone Number

Address Line 1

Address Line 2

Position for /Location to
which you are applying

Accommodation

Documentation you will be providing

Please note: Documentation from a licensed professional describing your need for accommodation must be received by Gallup within 48 hours of completion of the assessment.

You may fax, e-mail, or mail your documentation to:

Gallup Talent Resources
Fax: 402-486-6828
E-Mail: srihelp@gallup.com
Mail:
The Gallup Organization
300 S. 68th Street Place, Ste. 400
Lincoln, NE 68510

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