NC FFA CDE/LDE: Request for Accommodation Form (ADA and Other)
In compliance with the Americans with Disabilities Act, the North Carolina FFA Association will honor requests for reasonable accommodations made by individuals with disabilities. Please direct accommodation requests through the CDE/LDE Accommodation Request Form. If the accommodation can be made for all and/or doesn’t provide an unfair advantage, then every effort will be made to provide the accommodation. Requests can be accommodated more effectively if notice is provided at least 10 days before the event. 

If an accommodation is selected from the list below, the participant will be required to fill out the Reasonable ADA and/or Special Request for Accommodation form. Upon completion of the form, a FFA staff member will contact the participant to gather additional information and/or discuss the reasonable accommodation(s) or assistance being requested.

  • Mobility

  • Vision

  • Hearing

  • Other

These medical conditions, diagnosed by a recognized medical professional, will impact a students' ability to participate in activities offered during this North Carolina FFA event. These may or may not require someone to assist the participant during the event.

At no time will a student participating in a North Carolina FFA event be responsible for the care or observation of another student. If a student requires care or observation, an adult must register to attend with the student at their cost.

Short-term, temporary conditions such as surgery recovery or injury recovery, i.e., limbs in a cast due to fractures, crutches, etc., are not covered by the Americans with Disabilities Act. Participants are responsible for all assistance and equipment necessary to participate in the activities during the North Carolina FFA event, including but not limited to personal assistants, wheelchairs, crutches.

All information submitted in this form will be kept confidential. Our staff will review the request upon receipt and contact the requestor with additional information.

The organization cannot guarantee accommodations or assistance if a form is received less than 10 days before an event.
Email *
Reason for completing this form:  *
Participant's Name *
Parent/Guardian's Name, if participant is under 21 years of age (If participant is over 21, please note N/A) *
Parent/Guardian's Email (If participant is over 21, please note N/A)
 *
Parent/Guardian's Phone Number (If participant is over 21, please note N/A)
 *
FFA Chapter Name  *
Advisor's Name *
Advisor's Phone Number *
FFA Event or Program  *
Please describe the accommodations you are requesting. If request is allergy related, share to what type of exposure is the reaction related (ingested, contact, inhaled, etc.).
*
If you have received accommodations for a previous FFA events, please list the accommodation or accommodations you have received. (Please note N/A if the participant has not previously received accommodations.)
 *
Name of Individual Submitting Request and Relationship to Participant  *
A copy of your responses will be emailed to .
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