Fillable UIL Request For Accommodation-9-16-posting - UIL Request for Accommodation-9-16

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UIL Request For Accommodation-9-16-posting - UIL Request for Accommodation-9-16

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Rev: 9/16
UNIVERSITY INTERSCHOLASTIC LEAGUE
Request For Accommodation
Section 504 of the Rehabilitation Act and/or Title II of the Americans with Disabilities Act (ADA)
SECTION I: STUDENT RECORD INFORMATION
Type or Print Student's Name
Date of Birth Male Female Current Year in School K-8 9 10 11 12
Parent or Guardian’s Name Email address
Mailing Address
City/Zip Home Phone #
Name/Address of School
Principal’s name School Phone # Email address
Name/address of ISD
Superintendent's Name Email address
SECTION II: INSTRUCTIONS TO COMMITTEE
This form is to be completed by an appropriate administrator after consultation with a properly constituted Sec. 504
Committee and/or A.R.D. Committee. After reviewing the Committee’s determinations regarding a student’s need for
accommodation in order to participate in a UIL game or contest, the superintendent of schools, campus principal or designee
is to review all relevant information and, unless the administrator has a legitimate basis for concern, sign the UIL request
form. By signing this form, the administrator verifies that a properly constituted 504 Committee and/or A.R.D. Committee
has made the required determinations in reference to the physical or mental impairment that leads to the request for
accommodation.
The administrator must review the following documents:
• Current accommodation plan and/or I.E.P.;
• 504 Committee and/or A.R.D. Committee notes/reports on initial eligibility and placement;
• Current 504 accommodation plan or report of Committee meeting where student was dismissed from 504;
• Documentation substantiating the physical or mental impairment;
• Documentation supporting the finding of substantial limitation;
No records are to be submitted to UIL. The only required submission to UIL is this signed application form.
SECTION III: SPECIFIC ACCOMMODATION(S) REQUEST
Please provide a detailed explanation of the UIL activities in which the student participates and the specific
accommodation(s) requested to applicable UIL contest rules or procedures for those activities (attach separate sheet if
necessary):
Request For Accommodation - Section 504 of the Rehabilitation Act and/or Title II of the Americans with Disabilities Act
SECTION IV: ADMINISTRATOR’S STATEMENT
Please check:
_____ I certify that I have reviewed documentation, which verifies that this student is a student with disabilities as defined
by Section 504 of the Rehabilitation Act and/or Title II of the Americans with Disabilities Act, and is currently being
served under either of those Acts.
Signature of Administrator _________________________________________ Date _______________________
Instructions for submission: When completed and signed by the all applicable parties, this application form should be
submitted to the UIL office (Music, Academic or Athletics) that oversees the contest or event in question. No
accommodations to UIL contest rules or procedures requested in this application will be provided unless and until
approved by University Interscholastic League.
Send via regular mail:
University Interscholastic League
(Academics or Athletics or Music) Department Accommodation Request
Box 8028
Austin, TX 78713
Or by email:
For Academic contests, submit form to Dr. David Stevens, Director, UIL Academics. dstevens@uiltexas.org
For Music contests, submit form to Dr. Brad Kent, Director, UIL Academics. bkent@uiltexas.org
For Athletic Contests, submit form to Dr. Susan Elza, Director, UIL Athletics. selza@uiltexas.org
SECTION V: BASIS FOR DECISION
The ADA and Section 504 require that accommodations be provided to individuals with disabilities when certain conditions
are satisfied. Each case will be decided on its own merits. In reaching its decisions, the UIL will follow applicable law and
consider the following:
• whether the requested accommodation(s) is "reasonable";
• whether the requested accommodation(s) is "necessary,"; and
• whether the requested accommodation(s) would "fundamentally alter the nature of" the competition, either because
it would alter an “essential aspect of the game” or activity or give the student an “advantage over others and, for that
reason, fundamentally alter the character” of the competition.
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Completed 2 July 2020

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