FCCLA Participant Special Request Form
FCCLA is a career and technical student organization that strives to provide ALL participants with the opportunity to achieve success within their families, careers, and communities. The Nebraska State FCCLA Association will attempt to make requested accommodations for students who qualify for services according to local, state, and federal laws. Please complete this form for any FCCLA participants who require special accommodations (IEP, visual, physical, dietary, etc.)
Adviser Cell Phone (for on-site contact)
First Name Last Name
Fall Leadership Workshop
District STAR Event Competition
Peer Education Conference
State Leadership Conference
Does the student qualify for services that would require accommodations for STAR Events?
What accommodations are needed?
Ex. Gluten-free, peanut-free, large print, wheelchair accessibility, etc.
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