Applicant Accommodation Request

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Datadog will comply with all national, federal, state and local laws as applicable. For questions regarding this form, please contact accommodation-requests@datadoghq.com.

For US applicants:

Please do not disclose any private medical information, such as diagnosis. Additionally, please review the GINA disclosure below.

In responding to these questions, we ask that you do not provide or disclose any genetic information of the employee. The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits employers and other entities covered under GINA Title II from requesting or requiring genetic information of an individual or family member of an individual, except as specifically allowed by this law. Genetic information as defined by GINA includes the individual’s family medical history, the results of the individual or family member’s genetic tests, the fact that the individual or family member sought or received genetic services, and genetic information of a fetus carried by an individual or a family member, or an embryo lawfully held by an individual or family member receiving assistive reproductive services.

First Name *

Last Name *

Email Address: *

Recruiting Stakeholder (Recruiter/Sourcer/Coordinator) Name: *

Position Applied for:

Region: *

Country:

Application Date: *

YYYY

Time

Reason for Accommodation Request (Check all applicable): *

Medical condition or impairment

Sincerely held religious beliefs and/or practices

Other:

Required

Type of Accommodation Requested (Check all applicable): *

Closed captioning

Extended interview or assessment time

Service Animal

Other:

Required

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