Request for Accommodation
Parkway-Rockwood Community Ed is committed to an inclusive approach to programs and services. Reasonable accommodations will be made to afford individuals with disabilities an equal opportunity to participate. Accommodations are made as needed and can be flexible and creative, so long as not fundamentally altering a program.
Program(s) Requesting Accommodations For: (check all that apply)
Adult Education & Literacy
Sports & Fitness
Visual & Performing Arts
Support Staff/Paraprofessional (e.g. 1:1 ratio)
Auxiliary Aids or services (i.e. interpreter services)
Behavior Management Plan
Material or Equipment Adaptation (i.e. visual schedule, written schedule, assistive listening device)
Has participant previously participated in Community Education programs?
Primary Contact Name (if participant is under age 18, list parent/guardian):
Preferred Method(s) of Contact (check all that apply):
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This form was created inside of Rockwood R-6 School District.