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ASU Box 32158
Suite 112, Anne Belt Hall
Boone, NC 28608
8282623056 (o) 8282627904 (f)
www.odr.appstate.eduStudent Temporary Impairment Disclosure Intake Form
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How to fill out student temporary impairment disclosure

How to fill out student temporary impairment disclosure
01
Obtain the student temporary impairment disclosure form from the school administration.
02
Read the form carefully to understand the information required.
03
Provide personal details such as name, student ID, and contact information.
04
Specify the type of temporary impairment and the expected duration.
05
Include any accommodations or special requirements needed during the impairment period.
06
Sign and date the form to acknowledge the accuracy of the information.
07
Submit the completed form to the designated authority or department.
08
Keep a copy of the filled-out form for your records.
Who needs student temporary impairment disclosure?
01
Any student who is experiencing a temporary impairment, such as illness, injury, or disability, may need to fill out the student temporary impairment disclosure. This form helps the school administration and teachers understand the student's limitations and provide necessary accommodations to support their learning and participation in educational activities during the impairment period.
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What is student temporary impairment disclosure?
Student temporary impairment disclosure is a form that students use to inform their educational institution of any temporary impairment that may affect their ability to fully participate in classes.
Who is required to file student temporary impairment disclosure?
Any student who has a temporary impairment that may impact their education is required to file a student temporary impairment disclosure.
How to fill out student temporary impairment disclosure?
To fill out the student temporary impairment disclosure, students typically need to provide information about their impairment, how it affects their education, and any accommodations they may need.
What is the purpose of student temporary impairment disclosure?
The purpose of student temporary impairment disclosure is to ensure that students with temporary impairments receive the necessary support and accommodations to help them succeed in their education.
What information must be reported on student temporary impairment disclosure?
Information that must be reported on student temporary impairment disclosure typically includes details about the impairment, how it affects the student's education, and any accommodations or support needed.
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