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Essential Course Requirements Review Form

The purpose of this form is to gather information from faculty regarding course requirements, learning outcomes, professional competencies, and concerns about implementing the requested accommodation.

This form is not used to determine whether accommodation constitutes a fundamental alteration. Rather, it provides information for ODS to consider as part of the University's interactive review process. Fundamental alteration determinations are made through consultation with knowledgeable parties and should not rest with a single instructor. The role of the faculty member is to provide information regarding course requirements, competencies, and professional expectations.

ODS coordinates the review and determination process, and coordinates any necessary committee. Fundamental alteration determinations require consideration of essential requirements, learning outcomes, and possible alternative means of providing access.
Personal Information
List of Questions
Question 3: Have you discussed your concerns with your department chair or program director?required field
Question 5: Are there other instructors who currently teach or regularly teach this course?required field
Question 6: Based on those discussions, concerns were:required field
Question 7: Accommodation for which you are seeking review:required field
Question 8: What is the primary purpose of this course? Select all that apply.required field
Question 9: What is the primary basis of your concern regarding implementation of the accommodation?required field
Question 10: Which competency or learning outcome is most directly connected to your concern? Select all that apply.required field
Question 11: Could the competency or learning outcome potentially be demonstrated through another method?required field
Question 12: Which course activities are connected to the competency identified above?required field
Question 13: OPTIONAL: If your concern involves supplemental materials/memory aids, explain why independent recall is important:
Question 14: OPTIONAL: If your concern involves flexible deadlines or flexible attendance, timely completion is important because:
Question 15: Is the competency or concern related to:required field
Question 16: If accommodation is provided, what aspect of the course are you most concerned may be affected?required field
Question 17: Have alternative approaches been considered?required field
Question 18: Which alternative approaches may warrant consideration?required field
Form Submission

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Office of Disability Services
The University of Alabama

1000 Houser Hall
Box: 870185
Tuscaloosa, AL 35487

Phone: 205-348-4285
ods@ua.edu

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