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Academic Accommodation Renewal Request - Free Education Template | ZenBuild | ZenBuild

Templates→Education→Academic Accommodation Renewal Request

Academic Accommodation Renewal Request

Request renewal of an existing academic accommodation for a new semester or academic year.

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Academic Accommodation Renewal Request

Request renewal of an existing academic accommodation for a new semester or academic year.

Student Full Name*

Student Email*

Student ID*

Academic Year or Semester*

Program of Study*

Current Accommodations (Brief Description)*

Has Your Condition Changed Since Last Request?*

No changeImprovedWorsenedNew condition added

Updated Documentation or Notes

Accommodations Being Renewed*

Extended test timeReduced-distraction testingNote-taking supportCaptioning/ASL interpretationAlternative format materialsFlexible attendance

Additional Information

Template Details

CategoryEducation

IndustryEducation

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Uses0

Views1

accommodationdisabilityrenewalaccessibility