FCCLA Participant Accommodations Request Form

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FCCLA is a Career & Technical Student Organization that strives to provide ALL participants with the opportunity to achieve success within their families, careers, and communities. The Nebraska FCCLA state association will work to make requested accommodations for students who qualify for services according to local, state, and federal laws. Please complete this form for any FCCLA participants who require special accommodations (IEP, visual, physical, etc.)

Email *

Chapter *

Adviser(s) *

Adviser Cell Phone (for on-site contact) *

Participant's Name *

First Name Last Name

Conference Attending *

Fall Leadership Workshop

Mind Bending Careers Conference

District STAR Event Competition

State Leadership Conference

Other:

Required

What conference attendance accommodations are needed? *

Ex. Gluten-free, peanut-free, large print, wheelchair accessibility, etc.

Does the student qualify for services that would require accommodations for STAR Events? *

Yes

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