Faculty COVID-19 Related Disability Accommodation Request
According to guidelines issued by the Centers for Disease Control (CDC), individuals with some underlying health conditions may be at higher risk for COVID-19. Requests for accommodations/modifications may also relate to non-teaching responsibilities (such as research or other duties). For faculty who wish to request accommodation on this basis, please complete the form below. The completed form will be maintained as confidential in accordance with applicable law, and University process and procedure.

All requests for accommodation are subject to review and approval, and confirming medical documentation as appropriate. The Office of Equal Opportunity (OEO) facilitates the University's Reasonable Accommodation Processes for Prospective and Current Employees. The nature and status of your health condition will not be disclosed to your School/Department. In the event a requested accommodation is not reasonable or presents an undue hardship, the school or department may, in consultation with NYU OEO, support an effective alternative.

If you have immediate questions or require assistance in completing the questionnaire, please contact the OEO at 212-998-2370.
Email address *
Full Name *
NYU NetID *
(e.g. abc123)
Preferred Phone Number *
Faculty Classification *
(For adjunct faculty only) Have you received an offer of appointment for fall 2020?
Please note that if an adjunct faculty member makes a request for an accommodation prior to receiving an offer of appointment to teach in the fall, such request will remain pending with OEO and not be disclosed to the school or institute at that time. Such a request for accommodation will not be considered unless and until an adjunct faculty member has received an offer of appointment to teach in the fall.
Clear selection
Please identify your primary school or institute. *
Please enter your primary department.
Leave blank if not applicable.
Courses in Primary Department to be taught in fall 2020 Semester
As course offerings and teaching assignments may not yet be final for the Fall 2020 semester, we understand that the course listing below is subject to change and that additional follow-up may be necessary.
Course 1 Number
Course 1 Title
Course 2 Number
Course 2 Title
Course 3 Number
Course 3 Title
Course 4 Number
Course 4 Title
Course 5 Number
Course 5 Title
Please identify your secondary school or institute. *
Please select "Not applicable/NA" from the top of the list if you do not have a secondary/joint appointment in a second school, and proceed to page two.
Please enter your secondary department.
Leave blank if not applicable.
Courses in Secondary Department to be taught in fall 2020 semester
As course offerings and teaching assignments may not yet be final for the Fall 2020 semester, we understand that the course listing below is subject to change and that additional follow-up may be necessary.
Course 1 Number (Department 2)
Course 1 Title (Department 2)
Course 2 Number (Department 2)
Course 2 Title (Department 2)
Course 3 Number (Department 2)
Course 3 Title (Department 2)
Course 4 Number (Department 2)
Course 4 Title (Department 2)
Course 5 Number (Department 2)
Course 5 Title (Department 2)
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