Inclusive Services Request

This form is for an Inclusive Services Request. Inclusive services are provided for individuals requiring accommodations in non-adaptive programming.

Adaptive Programming at Joseph Dotch Community Center is designed for those with disabilities to have full participation without accommodations.

1. I am completing this form seeking accommodations for. . . . *This question is required.

2. The program I am seeking accommodations for is. . . . *This question is required.

Please be as specific as possible

3. Full name of the individual needing accommodations (if preregistered, type as listed on their RecDesk profile) *This question is required.

4. Provide a short description of the participant's needs. More detailed information will be gathered in a personalized assessment.

5. Contact Number