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Assistive Technology Proposal for Device Purchase Students Name: Date of Request: Grade: Age: Certification: School: Referring/Contact Person: Place of Employment: Current Supervisor: Work Phone:
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How to fill out assistive technology request for

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How to fill out an assistive technology request form:

01
Start by providing your personal information such as your name, address, contact number, and email address. This information is necessary for the organization to reach out to you regarding your request.
02
Specify the type of assistive technology you are requesting. It is important to be as specific as possible to ensure that you receive the appropriate device or tool for your needs. This could include items such as hearing aids, wheelchair ramps, screen readers, or communication devices.
03
Clearly explain why you need the assistive technology. Write a detailed description of your disability or condition that requires the use of this technology. Include any relevant medical information or documentation that supports your request.
04
If applicable, provide information about any previous assistive technology devices or accommodations that you have used in the past. This can help the organization better understand your needs and make appropriate recommendations.
05
Indicate whether you have any preferences or specific requirements for the assistive technology. For example, if you have a hearing impairment, you may need a device with adjustable volume or compatibility with a certain type of hearing aid.
06
If you have any specific training or experience in using assistive technology, mention it in your request. This can help the organization assess your proficiency level and provide appropriate guidance or resources.
07
Provide any additional information or requests that you feel are relevant to your assistive technology needs. This could include details about your work or educational environment, specific challenges you face, or any other considerations that may impact the assistive technology recommendations.

Who needs an assistive technology request:

01
Individuals with disabilities or medical conditions that require additional support or accommodations to perform daily tasks, communicate, or access information effectively.
02
Students who require assistive technology to participate in educational activities, access learning materials, or navigate the learning environment.
03
Employees who need assistive technology to perform their job functions, communicate with colleagues, or access workplace resources.
04
Older adults who may require assistive technology to enhance their independence, mobility, or communication abilities.
05
Individuals undergoing rehabilitation or therapy who may benefit from assistive technology devices during their recovery process.
Remember, it's important to consult with the appropriate organization or agency to determine the specific requirements and procedures for filling out an assistive technology request form.
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Assistive technology request is for requesting accommodations or tools to help individuals with disabilities perform tasks or access information.
Individuals with disabilities who require accommodations or tools to perform tasks or access information are required to file assistive technology request.
Assistive technology request can be filled out by providing details of the specific accommodation or tool needed, along with relevant documentation of disability.
The purpose of assistive technology request is to ensure that individuals with disabilities have equal access to opportunities and resources.
Assistive technology request must include details of the disability, specific accommodations needed, and any supporting documentation.
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