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Get NC New Hanover County Schools ADA Accommodation Request Form 2015-2024

Ell Phone: EMAIL Please provide detailed responses to each question below. What is the situation or condition that is prompting you to make an accommodation request? (e.g. nature of impairment; chronic or temporary condition, etc.) Describe the conditions of employment or job responsibilities that would be affected by your accommodation request: What specific accommodation request(s) are you proposing? Describe the anticipated length of the accommodation(s) requested. Signature of EMPLOYEE.

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