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Request for Academic Accommodation Midterm Conflicts Section #1: Student Information Student #: Today's Date: Last Name: First Name: TWO Email: / / Phone Number: MM DD YYY Section #2: Course Components
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How to fill out request for academic accommodation

How to fill out a request for academic accommodation:
01
Contact the appropriate office: Begin by reaching out to the office responsible for handling accommodation requests at your educational institution. This could be the disability services office, student services office, or a similar department. Request any necessary forms or documentation required to start the application process.
02
Provide personal information: Fill out the required personal information such as your name, student identification number, contact information, and major field of study. This ensures that the accommodation request is associated with the correct individual and can be processed smoothly.
03
Describe your specific needs: Clearly articulate the specific academic accommodations you are requesting. This could include accommodations for physical disabilities, learning disabilities, or mental health conditions, among others. Be detailed in explaining how these accommodations will help you perform your academic duties effectively.
04
Attach supporting documentation: Support your request with any relevant supporting documentation. This may include medical records, evaluations, or letters from healthcare professionals or specialists. These documents provide evidence of your need for accommodations and strengthen your request.
05
Specify the requested accommodations: Clearly state the specific accommodations you are seeking. This could include extended time for exams, alternative formats for materials, assistive technology, note-taking assistance, or modifications to classroom assignments or requirements. The more specific and detailed you are in describing your needs, the better the institution can understand and provide appropriate accommodations.
06
Submit the request: Once you have completed the form and attached any necessary documentation, submit your request to the designated office. Follow any additional instructions provided, such as submitting the form electronically or scheduling an appointment for an accommodation interview.
Who needs a request for academic accommodation?
Any student who faces barriers that may affect their ability to fully participate in their educational experience may need to submit a request for academic accommodation. This can include students with physical disabilities, learning disabilities, chronic health conditions, mental health conditions, or any other condition that may require adjustments or assistance in order to access educational opportunities on an equal basis with others. It is essential for students to advocate for themselves and request appropriate accommodations to ensure they have an equitable and inclusive learning environment.
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What is request for academic accommodation?
Request for academic accommodation is a formal submission to request adjustments or modifications to academic requirements or conditions to ensure equal access and opportunity for students with disabilities or other special needs.
Who is required to file request for academic accommodation?
Any student with a disability or special needs who requires accommodations must file a request for academic accommodation with the appropriate office at their educational institution.
How to fill out request for academic accommodation?
To fill out a request for academic accommodation, students typically need to provide documentation of their disability or special needs, specify the accommodations requested, and submit the request to the designated office.
What is the purpose of request for academic accommodation?
The purpose of a request for academic accommodation is to ensure that students with disabilities or special needs have equal access to educational programs, services, and activities, and to provide necessary support for their academic success.
What information must be reported on request for academic accommodation?
Information that must be reported on a request for academic accommodation may include student's name, contact information, documentation of disability or special needs, requested accommodations, and any supporting documentation.
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