JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Accommodations Requests
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
Your answer
What disability(ies) or condition(s) are you seeking accommodations for?
Your answer
Is there any additional information you would like to provide that would help us better understand and support your needs?
Your answer
What accommodations are you requesting? Select all that apply.
Extended assignment deadlines
Attendance flexibility
Flexibility regarding the pair programming requirement
Schedule flexibility
Service animal
Private space for religious observance, nursing parents, or medical needs
Something that isn't listed here
If you have a request that isn't addressed on the question above, please use this space to either specify a request or let us know what condition you are trying to address so we can identify the best options to support your success.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Epicodus, Inc..
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
