Nonprofit Accessibility Accommodation Request

Nonprofit Accessibility Accommodation Request — Form Fields

This nonprofit template includes 9 fields. Request accessibility accommodations to participate in nonprofit programs, events, or employment. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• Phone Number (text, optional)
• Accommodation Needed For (dropdown selection, required) — options: Program Participation, Volunteer Role, Employment, Event Attendance, Online Services
• Type of Accommodation Requested (dropdown selection, required) — options: Sign Language Interpreter, Captioning/CART, Accessible Seating, Large Print Materials, Audio Description, Assistive Technology, Mobility Aid Access, Other
• Describe your specific accommodation needs (long text, required)
• Date/Program for Which Accommodation Is Needed (text, required)
• Have you requested accommodations from us before? (dropdown selection, required) — options: Yes, No
• Additional notes (long text, optional)