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INCLUSION ACCOMMODATION Participant Name: Parent Name (if under 18): Phone: Address: Email: Date of Birth: PROGRAM I WOULD LIKE TO PARTICIPATE IN: Location: Program Name: Time: Date Ending: Date Beginning:
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How to Fill Out Inclusion Accommodation Form 145:

01
Start by carefully reading the instructions provided with the form. Make sure you understand all the requirements and guidelines before you begin filling it out.
02
Gather all the necessary information and documents that will be needed to complete the form accurately. This may include personal information, medical records, or any other relevant documentation.
03
Begin filling out the form by entering your personal information accurately and legibly. This may include your name, address, contact information, and any other required details.
04
Provide all the necessary details regarding the accommodation you are requesting. Be specific and concise in describing the accommodation and how it relates to your needs.
05
If applicable, attach any supporting documents that validate your accommodation request. This can include medical records, letters from healthcare professionals, or any other relevant evidence.
06
Review the completed form thoroughly to ensure all the information provided is accurate and complete. Double-check for any errors or missing information that may affect the processing of your request.
07
Sign and date the form to certify that all the information provided is true and accurate to the best of your knowledge.
08
Make a copy of the completed form for your records before submitting it.

Who needs Inclusion Accommodation Form 145?

01
Individuals who require accommodations due to a disability or medical condition and wish to request specific modifications or adjustments.
02
Employees or job applicants who need assistance or modifications in the workplace or during the hiring process.
03
Students who require accommodations in schools or educational institutions to ensure equal access to education and opportunities.
04
Individuals participating in certain programs, events, or activities that may require accommodation to overcome barriers or ensure inclusion.
05
Anyone who believes they may benefit from an accommodation based on their unique circumstances or needs.
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